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January 2015		Print entire issue
	Blue Cross individual, small group customers getting expedited Rx review process in 2015 Effective Jan. 1, 2015, Blue Cross Blue Shield of Michigan will offer a 24-hour expedited review process for individual and small group customers requesting nonformulary or urgently needed prescription drugs... Read more.	Inside this issue for you Do you know which Blues products you accept? Update: Metro Detroit EPO, HMO networks
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Blue Cross individual, small group customers getting expedited Rx review process in 2015 Do you know which Blues products you accept? Update: Metro Detroit EPO, HMO networks BCBSM coverage decisions on 2015 HCPCS codes available online Coding Corner: Documentation is key when coding morbid obesity Reminder: FEP^® members’ preferred provider network for behavioral health services changing Jan. 1 Navigating the electronic Record Blues highlight medical, benefit policy changes Pharmacies can qualify for direct payments for immunizations Drugs added to the Medical Drug Prior Authorization Program, effective April 1, 2015 Prior authorization required for specialty drug Lemtrada™	There will be changes to autism benefit for 2015 Board certification and accreditation required for TRUST providers performing sleep studies and polysomnography We’re revising Prudent Laboratory Use qualification standards Home infusion therapy guidelines for drug deliveries reinforced HIT drug claims need National Drug Code information for billings Blues’ RA Limited Choice program expands in 2015 2015 FEP benefits feature BRCA mutation testing for adult males, updated guidelines for transplants Drugs added to the Medical Drug Prior Authorization Program, effective April 1, 2015 Prior authorization required for specialty drug Lemtrada™ Drugs added to the Medical Drug Prior Authorization Program, effective April 1, 2015 Prior authorization required for specialty drug Lemtrada™	Board certification and accreditation required for TRUST providers performing sleep studies and polysomnography Blues’ RA Limited Choice program expands in 2015 Billing change for observation services 2015 FEP benefits feature BRCA mutation testing for adult males, updated guidelines for transplants Reminder: Ambulatory surgery facility audit process Reminder: Qualifying facilities can enroll to provide psychiatric residential treatment Reminder: Be sure you’re billing correctly for therapy services Blue Cross Blue Shield of Michigan issues Medicare Plus Blue^SM claim overpayment recovery letters Medicare Plus Blue^SM changes reimbursement for gradient compression stockings Update: Dental coverage, physical therapy benefits for Ford employees
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