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December 2014		Print entire issue
	Blue Cross^® Premier Platinum Extra with Dental and Vision to launch in 2015 Blue Cross Blue Shield of Michigan will introduce a platinum qualified health plan — Blue Cross^® Premier Platinum Extra with Dental and Vision — on the BCBSM PPO network for our individual customers in 2015. Read more.	Inside this issue for you Embedded coinsurance maximum introduced for 2015 form New Blue Distinction^® Total Care program to include Blue Cross patient-centered medical home providers
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Online tutorial will walk you through our new individual plans with local networks CPT Category II codes, V codes help you monitor performance on key measures Focus on HEDIS^®: Managing patients with high blood pressure Blue Cross Blue Shield of Michigan announces changes to Traditional program participation criteria Guidelines have changed for autism procedure code S5108 for applied behavior analysis 2015 criteria for medically necessary mental health treatment available Jan. 1 Register for upcoming freestanding radiology center webinars We’re making a change to our PPO radiology program for commercial and Medicare Advantage PPO products PPO Quality Improvement Program supports member care Blue Cross electronic qualification form available Jan. 1, 2015 Reminder: Bill Medicare Supplemental claims electronically National drug code billing solution extended We’re changing billing instructions for prenatal visits	Blue Cross^® Premier Platinum Extra with Dental and Vision to launch in 2015 Embedded coinsurance maximum introduced for 2015 New Blue Distinction^® Total Care program to include Blue Cross patient-centered medical home providers 2015 Blue Cross formulary changes focus on high-risk medications for older adults Legal or court-ordered services are not considered Blue Cross Blue Shield of Michigan benefits Reminder to follow guidelines established for processing Medicare primary claims Keep in mind these tips to improve medical record documentation for coding cancer in remission Blues highlight medical, benefit policy changes Navigating the electronic Record URMBT benefit changes for 2015 announced Benefit changes for Ford Motor Company salaried employees	Register for upcoming freestanding radiology center webinars We’re making a change to our PPO radiology program for commercial and Medicare Advantage PPO products Reimbursement amount changes for nonpayable codes covered by other plans Reminder: Documents needed for a pharmacy audit Correction: Victoza^® billing information Reminder: BCBSM Medicare Advantage PPO processing system for pre-2013 claims to shut down
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.

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