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October 2015		Print entire issue
	We’re announcing the Michigan Skilled Nursing Facility Pay-for-Performance Program On Jan. 1, 2016, Blue Cross Blue Shield of Michigan will launch its Skilled Nursing Facility Pay-for-Performance Program. The program will give incentive rewards to Michigan freestanding and hospital-based SNF providers that improve quality... Read more.	Inside this issue for you HCPCS codes added for fourth quarter 2015, CPT codes added for early release 2016 Procedure code Q9979 replaces J3490 and J3590 when billing for Lemtrada™ Online prescription drug lists updated for fourth quarter
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We’re announcing the Michigan Skilled Nursing Facility Pay-for-Performance Program HCPCS codes added for fourth quarter 2015, CPT codes added for early release 2016 Procedure code Q9979 replaces J3490 and J3590 when billing for Lemtrada™ Online prescription drug lists updated for fourth quarter New rule requires prescribers to register with CMS if they write scripts for patients with Medicare Part D coverage BlueCard^® connection: Learn about our policy for appealing claims Coding corner: Improve medical record documentation for chronic hepatitis Coding corner update: Proper use of placeholders and seventh characters in ICD-10 Last call: Win a prize for giving input on our provider manuals Blues highlight medical, benefit policy changes Anti-rheumatic drug benefit changes for Medicare Plus Blue^SM and Prescription Blue^SM PDP members	All Blue Cross-contracted providers should refer members to other participating providers New requirement: Plans must contact providers monthly Blue Cross and BCN have contracted with American Well^® to provide online doctor visits Direct reimbursement available to licensed professional counselors beginning Jan. 1 Resolving your issues: Requirements for processing written inquiries will change Nov. 1 UA Local 357 and UA Local 174 will participate in medical drug prior authorization program Reminder: There’s still time to register for a provider forum this fall Reminder: Flu shots, other vaccines Correction: Self-service tools can help Use AIM Specialty Health to obtain preauthorization for proton beam therapy services	All Blue Cross-contracted providers should refer members to other participating providers Blue Cross and BCN have contracted with American Well^® to provide online doctor visits Resolving your issues: Requirements for processing written inquiries will change Nov. 1 Blue Cross changes billing and reimbursement for partial hospitalization program and electroconvulsive therapy Preauthorization expansion to outpatient facilities begins Jan. 1, 2016 Blue Cross and BCN have contracted with American Well^® to provide online doctor visits UA Local 357 and UA Local 174 will participate in medical drug prior authorization program Reminder: Flu shots, other vaccines Are you billing correctly for these drugs?
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