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August 2021
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Blue Cross and Michigan Medicine expand cutting‑edge Hospital Care at Home Program
Blue Cross Blue Shield of Michigan and Michigan Medicine have expanded their Hospital Care at Home Program. Read more.


Inside this issue for you

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See all the articles in this issue, grouped by category, below.
Professional
Eligible patients can receive COVID‑19 vaccine at home
Inflammation side effect of COVID‑19 vaccine can cause inaccurate mammogram results
We invite you to join PGIP as a physician organization
Clinical tips from the American Psychiatric Association for treatment of major depressive disorder
Certain radiology codes for Blue Cross commercial, Medicare Plus Blue to require prior authorization from AIM
We’ve updated pain management questionnaires and Postservice change request form for submitting requests to TurningPoint
Questionnaires updated in e‑referral system
Job aid helps you determine if a Blue Cross commercial member requires prior authorization for DME/POS through Northwood
Submitting Medicare Plus Blue post‑service claims for home health care
Claim editing enhancements coming later this year to Medicare Plus Blue claims
Optum to provide enhanced prospective claim editing for Blue Cross commercial claims
Claim editing update coming this year to Medicare Advantage PPO claims with modifier 59
Blue Cross and BCN covering additional vaccines
Aduhelm, Empaveli and Arcalyst to require prior authorization for Medicare Advantage members
Lunch and learn webinars for physicians and coders focus on risk adjustment, coding
New eLearning lesson about evaluation and management guidelines is available on provider training website
New on‑demand resources available on our provider training site
New eLearning training videos to focus on Medicare Star Ratings
Learn more about the HOS and CAHPS surveys
We now cover colorectal cancer screenings starting at age 45
Remind your eligible patients to get regular mammograms
Here are resources on antibiotic resistance for patients and health care providers
Updated: Refer our members to network DME suppliers only
All Providers
Pharmacy
DME
Facility
For BCN news and information, see the current issue of BCN Provider News.

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