The Record - for physicians and other health care providers to share with their office staffs Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article

February 2015

Health e-Blue features 2015 Provider Recognition Program materials

Blue Cross Blue Shield of Michigan and Blue Care Network are providing you with 2015 Provider Recognition Program materials for the following products:

  • BCN Commercial
  • BCN AdvantageSM
  • Blue Cross Medicare Advantage PPOSM

To simplify the program, the Blues created one booklet that outlines the requirements for all three products. 

The 2015 program materials can be found on the home page of BCN Health e-BlueSM or MAPPO Health e-BlueSM under Incentive Documents. The material contains a one-page summary document that outlines the program. Use this as a reference tool to help provide quality care to our members.

The Blues’ philosophy toward our provider incentive programs is to make meaningful payments to encourage appropriate clinical outcomes. We also strive to increase HEDIS® scores, also known as the Health Effectiveness Data and Information Set, and Centers for Medicare & Medicaid Services star ratings.

Remember that all data entered into Health e-Blue must be for services rendered, not just for ordered services or sent reminders.

Visit the home page on BCN Health e-Blue or MAPPO Health e-Blue for all 2015 program information.

If you have any questions, please contact your Blues provider consultant.

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 2014 American Medical Association. All rights reserved.