August 2016

Value Partnerships: Focusing on measuring and addressing the patient care experience
Improving patient care has always been a primary goal of Blue Cross Blue Shield of Michigan’s Value Partnerships program. Patients not only want to receive the best health care possible when receiving care at a doctor’s office — they want the best experience when receiving that care. Read more.

Inside this issue for you

• Use our new provider manual page to find updates
• Claim attachment enhancement effective
  Aug. 5
• Register for AIM Specialty Health Prior Authorization Program webinar

See all the articles in this issue, grouped by category, below. For tips on navigating the electronic Record,
click here.

• Value Partnerships: Focusing on measuring and addressing the patient care experience
• Use our new provider manual page to find updates
• Claim attachment enhancement effective Aug. 5
• Register for AIM Specialty Health Prior Authorization Program webinar
• Correction: *17380 considered investigational service
• Billing chart: Blues highlight medical, benefit policy changes
• Coding corner: Medical record documentation for COPD and associated respiratory conditions
• BlueCard^® connection: Which Blue plan do I contact to request an authorization?

• Here’s what you need to know about Blue Cross^® Personal Choice PPO
• Focus on HEDIS^®: Managing patients with high blood pressure
• How to bill CPT initial administration codes
• Board certification and accreditation required for providers performing sleep studies and polysomnography
• Be sure to follow intravenous solution billing requirements
• Blue Cross updating ClaimsXten™ for fourth-quarter 2016

• Blue Cross members can get vaccines at participating pharmacies starting Oct. 1.

• Here’s what you need to know about Blue Cross^® Personal Choice PPO
• Blue Cross updating ClaimsXten™ for fourth-quarter 2016
• Collection of copays for ER visits: An important component of benefit management

• Providers receive reimbursement for conducting medication reconciliation post-discharge for MA PPO members
• Here’s some additional information about the Medicare Plus Blue^SM PPO prior authorization expansion

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 2015 American Medical Association. All rights reserved.