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December 2021
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Get ready for Availity: Find out which web browser to use
To prepare for moving to the Availity^® provider portal in the coming months, you should take a look at the internet browser you’re currently using. Read more.

Inside this issue for you

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

Professional

Starting Jan. 1, 2022, bill Medicare Advantage plans for administration of COVID‑19 vaccines and monoclonal antibody treatments
Intensive outpatient program and partial hospital program services now payable on an ongoing basis when delivered through telemedicine
Additional autism interventions delivered through telemedicine now payable
Behavioral health services delivered through synchronous telemedicine
Acupuncturists invited to apply to be part of Blue Cross’ provider networks
Services related to complementary and alternative therapies aren’t covered benefits
Coming soon: We’re changing how we issue value‑based reimbursements for PDCM outcomes
2022 member ID cards to display deductible, out‑of‑pocket maximum
Remote Clinical Documentation Improvement program helps keep medical records accurate
Our new, updated enrollment flyers assist providers joining our network
Blue Cross enhances tools for electronically prescribing medications and submitting prior authorizations
Reminder: TurningPoint to review sites of care for total hip and knee surgeries for some members
Reminder: Prior authorization requirements expanding for Medicare Advantage and BCN commercial on Jan. 1
Additional drugs require prior authorization for URMBT members with Blue Cross non‑Medicare plans
Blue Cross will provide physical therapy benefits for GM hourly employees under group number 83200
Get ready for welcome to Medicare and annual wellness visits for Medicare Plus Blue patients
Helping to limit disability with osteoporosis management
Register for Transitions of Care Medicare Star measure webinar
Sign up for final live coding webinar of 2021; recent sessions now on‑demand
Provider Experience delivers new on‑demand training resources
Help managing acute low back pain in adults

All Providers

Get ready for Availity: Find out which web browser to use
Blue Cross updates continuity of care requirements to align with law
Overview of care management and utilization management programs now available
We appreciate your efforts in helping us achieve high Medicare Star Ratings
Benefit changes coming Jan. 1 for UAW Retiree Medical Benefits Trust members
Third‑quarter 2021 HCPCS update: New and updated codes
HCPCS replacement codes, effective Oct. 1, 2021, established
Billing chart: Blue Cross highlights medical, benefit policy changes

Pharmacy

Starting Jan. 1, 2022, bill Medicare Advantage plans for administration of COVID‑19 vaccines and monoclonal antibody treatments
Blue Cross enhances tools for electronically prescribing medications and submitting prior authorizations
Additional drugs require prior authorization for URMBT members with Blue Cross non‑Medicare plans

Facility

Update: We’re aligning local rules for acute inpatient medical admissions
Here’s what you need to know about DRG readmission processing and how to provide input
Update: CADC, CAADC credentials not required for facilities that treat substance use disorders
Starting Jan. 1, 2022, bill Medicare Advantage plans for administration of COVID‑19 vaccines and monoclonal antibody treatments
Intensive outpatient program and partial hospital program services now payable on an ongoing basis when delivered through telemedicine
Additional autism interventions delivered through telemedicine now payable
Behavioral health services delivered through synchronous telemedicine
2022 member ID cards to display deductible, out‑of‑pocket maximum
Our new, updated enrollment flyers assist providers joining our network
Reminder: TurningPoint to review sites of care for total hip and knee surgeries for some members
Additional drugs require prior authorization for URMBT members with Blue Cross non‑Medicare plans
Blue Cross will provide physical therapy benefits for GM hourly employees under group number 83200
Register for Transitions of Care Medicare Star measure webinar
Sign up for final live coding webinar of 2021; recent sessions now on‑demand
Provider Experience delivers new on‑demand training resources

For BCN news and information, see the current issue of BCN Provider News.

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