August 2014

BlueCard^® program: Learn the basics
We want to improve your experience with the BlueCard program. So this month we’re launching a series of articles that will provide you with important information about the program, including a look at the online tools available to help you handle claims for members enrolled outside of Michigan. Read more.

Inside this issue for you

• Professional phone line hours changing for West Michigan Provider Servicing
• Register today to attend webinar on estrogen utilization in the 65 and older population
• Keep in mind these coding tips to improve medical record documentation

See all the articles in this issue, grouped by category, below. Click on the headlines to read the articles you’re interested in or to print them. If you need to print all the articles in this issue, click here.

• Enrollment for BCBSM’s new freestanding radiology center network begins Oct. 1
• Preauthorization changes to Radiology Management Program become effective Jan. 1, 2015
• New requirements to take effect for facilities submitting BCBSM, FEP^® adjustment claims
• Reminder: Hospital transfer policy
• Do not resubmit claims involved in audits
• Reminder: Statewide facility and professional training

• Enrollment for BCBSM’s new freestanding radiology center network begins Oct. 1
• Preauthorization changes to Radiology Management Program become effective Jan. 1, 2015
• Reminder: Statewide facility and professional training
• Update: Report national drug code number on professional drug claims for accurate processing

• BlueCard^® program: Learn the basics
• Professional phone line hours changing for West Michigan Provider Servicing
• Register today to attend webinar on estrogen utilization in the 65 and older population
• Keep in mind these coding tips to improve medical record documentation
• Blues highlight medical, benefit policy changes
• Navigating the electronic Record

	Countdown to local system retirement
	1 month
All claims filed on the local system must be submitted and received by Sept. 15, 2014, in order to be processed. BCBSM will not offer any special handling or filing extensions. For more details, please see the March 2014 Record article.

• Update: Report national drug code number on professional drug claims for accurate processing  

• BCBSM Medicare Advantage PPO home health care and skilled nursing facility audits begin this month
• My Advocate™ appointment scheduling underway
• Blues Medicare Advantage website redesigned to improve customer experience
• Reminder: Submiting CMS-1500 claim forms for Medicare Advantage patients

• Blue Cross to manage additional benefits for State of Michigan retirees and employees
• Update: Report national drug code number on professional drug claims for accurate processing

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.