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August 2020
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Second-quarter HCPCS update: New codes added, deleted
The Centers for Medicare & Medicaid Services has added several new codes as part of its quarterly Health Care Procedure Coding System updates. Read more.

Inside this issue for you

See all the articles in this issue, grouped by category, below.

Professional

TurningPoint musculoskeletal authorization program to expand in January
eviCore simplifies authorization process for radiation oncology
New and updated questionnaires started opening in June
Medicare Plus Blue expands prior authorization program to include genetic and molecular testing
eviCore has updated corePath for physical and occupational therapy authorizations
Here are some clinical editing tips to keep in mind
Medicare Part B medical specialty drug prior authorization list changing
Effective Oct. 1, Nivestym and Zarxio are preferred filgrastim products
FEP members have access to resources for managing diabetes, hypertension and other chronic conditions
On‑demand training available
Providers find Blues Brief helpful and easy to read

Facility

TurningPoint musculoskeletal authorization program to expand in January
Medicare Plus Blue expands prior authorization program to include genetic and molecular testing
We use InterQual criteria, not ‘two-midnight rule,’ for inpatient acute care admissions
Medicare Part B medical specialty drug prior authorization list changing
Effective Oct. 1, Nivestym and Zarxio are preferred filgrastim products
On‑demand training available
Providers find Blues Brief helpful and easy to read

All Providers

Second‑quarter HCPCS update: New codes added, deleted
HCPCS replacement codes established
Checking the status of temporary measures for COVID‑19
Billing chart: Blues highlight medical, benefit policy changes

Pharmacy

Medicare Part B medical specialty drug prior authorization list changing
Effective Oct. 1, Nivestym and Zarxio are preferred filgrastim products
Here’s new information about electronic prior authorization for drugs covered under pharmacy benefits

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