June 2015

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Inside this issue for you

• Blue Cross following CMS guidelines for ICD-10 billing information
• What you need to know about ancillary providers participating in Metro Detroit EPO network
• Reminder: Keep Blue Cross updated about changes to your practice

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.

• Are you using the right Internet browser to access bcbsm.com?
• Blue Cross following CMS guidelines for ICD-10 billing information
• What you need to know about ancillary providers participating in Metro Detroit EPO network
• Reminder: Keep Blue Cross updated about changes to your practice
• BlueCard^® connection: answer to a recent question
• Coding corner: importance of properly documenting major depressive disorder
• Coding corner update: Keep these coding tips in mind for diabetes
• Coding corner update: Keep these coding tips in mind for complications related to diabetes
• Coding corner update: Improve medical record documentation for fractures and osteoporosis
• Coding corner update: Documentation is key when coding morbid obesity
• Coding corner update: Use these coding tips to improve medical record documentation for pregnancy
• HCPCS code added to Medical Drug Prior Authorization Program
• Chrysler Group, LLC renamed FCA US, LLC
• Blues highlight medical, benefit policy changes
• Navigating The Record: what you need to know

• Blue Cross launching call program to help members improve their medication adherence
• Blue Cross electronic qualification form gets some new features
• Aim for the stars: Learn how to increase your payments by improving quality, coding and documentation while focusing on ICD-10
• Certificate of Medical Necessity requirements for home infusion therapy program
• Blue Cross reimburses home infusion therapy on per-day basis for implanted pumps
• ClaimsXten™ coming to outpatient facilities claims in 2016
• ClaimsXten™ to identify certain radiology procedures for multiple radiology editing in 2016
• Update: revision to specialist fee uplift program
• Reminder: Four specialty drugs to be added to prior authorization program

• Reminder: Four specialty drugs to be added to prior authorization program
• Blue Cross setting new quantity limits for Vyvanse^®, Adderall^® and Adderall XR^®; Vyvanse placed in off-label program

• Certificate of Medical Necessity requirements for home infusion therapy program
• Blue Cross reimburses home infusion therapy on per-day basis for implanted pumps
• Reminder: Four specialty drugs to be added to prior authorization program
• Here are the most common causes of DME/P&O audit findings in 2014
• Blue Cross implements Member Upgrade Responsibility Policy for DME and P&O

• Providers could be financially responsible for not obtaining preservice reviews for Blue Cross members prior to inpatient admissions
• Certificate of Medical Necessity requirements for home infusion therapy program
• Blue Cross reimburses home infusion therapy on per-day basis for implanted pumps
• ClaimsXten™ coming to outpatient facilities claims in 2016

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.