September 2014

Blues provider portal gets new web address
In October, Blue Cross Blue Shield of Michigan and Blue Care Network will begin upgrading their internal systems that support all of our online provider services, including access to web-DENIS features. Read more.

Inside this issue for you

• The Blues make it easier for members to manage their own health plan at bcbsm.com
• New Health e-Blue^SM site allows you to manage patient care for Blue Cross individual and group patients

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.

• Blues provider portal gets new web address
• The Blues make it easier for members to manage their own health plan at bcbsm.com
• New Health e-Blue^SM site allows you to manage patient care for Blue Cross individual and group patients
• Diagnosis-specific pricing helps balance cost of services with effectiveness
• BCBSM adds residential psychiatric treatment benefits
• CAREN retiring soon, to be replaced by improved IVR system called PARS
• Amendments made to Trading Partner Agreement
• Register now to attend webinars on ACE inhibitors, ARBs, use of nonbenzodiazepine hypnotics
• Use new fax number when submitting Facility and Professional Supply Requisition order form
• Reminder: Updated billing guidelines for hospital readmissions
• Reminder: Keep practice address information up-to-date with BCBSM
• BlueCard^® program: Check out provider manuals on web-DENIS for useful, up-to-date information
• Here’s a recap of coding tips to improve medical record documentation
• Keep in mind these coding tips for chronic kidney disease to improve medical record documentation
• Final reminder: Blues retiring local system
• Blues highlight medical, benefit policy changes
• Navigating the electronic Record

• Reminder: GY or GZ modifiers, Advance Notice of Member Responsibility required for all claims that BCBSM is expected to reject
• ACA’s wellness regulations may cause some claims to be reprocessed
• Enrollment for BCBSM’s new freestanding radiology center network begins on Oct. 1
• Reminder: Blues to retire Facility and Provider Claims Correction tool
• Tamoxifen, raloxifene added to PPACA preventive drug coverage list
• We have new quantity limits for 2 opioid medications
• Here’s how to file ancillary claims
• Note added to Max Fee for a Code feature on web-DENIS

• ACA’s wellness regulations may cause some claims to be reprocessed
• Enrollment for BCBSM’s new freestanding radiology center network begins on Oct. 1
• Reminder: Blues to retire Facility and Provider Claims Correction tool
• Tamoxifen, raloxifene added to PPACA preventive drug coverage list
• Retail health clinics will be considered in-network for URMBT’s Traditional, PPO groups, beginning Jan. 1

• Retail health clinics will be considered in-network for URMBT’s Traditional, PPO groups, beginning Jan. 1
• United Auto Workers group undergoes recovery and adjustments

• Tamoxifen, raloxifene added to PPACA preventive drug coverage list
• The Blues to begin formal participation review process for pharmacies
• We have new quantity limits for 2 opioid medications

• Here’s how to file ancillary claims
• Note added to Max Fee for a Code feature on web-DENIS
• Insulin pumps can now be billed with National Drug Code

• BCBSM Medicare Advantage PPO will update its physician office lab list
• Clarification: Two-midnight rule and related changes for BCBSM Medicare Advantage PPO
• Reminder: BCBSM Medicare Advantage PPO processing system for pre-2013 claims to shut down

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