Here are resources for TurningPoint musculoskeletal surgical quality and safety management program

We have resources to help you navigate the TurningPoint musculoskeletal surgical quality and safety management program.

You can find them on the following pages of the ereferrals.bcbsm.com website:

• Blue Cross Musculoskeletal services
• BCN Musculoskeletal services

The most comprehensive resource is the Frequently asked questions for providers document. Here are a few things you’ll find in the FAQ:

• How to submit authorization requests to TurningPoint through its portal, by fax and by phone
• How the peer‑to‑peer conversation process works
• Information related to submitting claims

Some of the other resources you’ll find on these pages are:

• The list of orthopedic, pain management and spinal procedure codes that require prior authorization by TurningPoint
• The list of orthopedic and spinal procedure codes for which we allow code substitutions
• A document that walks through the steps to determine whether prior authorization is required for Blue Cross commercial members. (This document is accessible only from the Blue Cross Musculoskeletal services page.)
• Clinical documentation requirements for musculoskeletal procedures
• The TurningPoint Provider Training Manual
• Fax forms for requesting authorization for musculoskeletal procedures
• Recordings and presentations from the TurningPoint provider training sessions

We encourage you to take advantage of these resources.

As a reminder, TurningPoint manages authorizations for orthopedic, pain management and spinal procedures for the following:

• Blue Cross commercial** — All fully insured groups, select self-funded groups and all members with individual coverage
• Medicare Plus Blue℠ members
• BCN commercial members
• BCN Advantage℠ members

**To determine whether you need to submit prior authorization requests for Blue Cross commercial members, see the document titled Determining whether Blue Cross commercial members require prior authorization for musculoskeletal surgeries and related procedures.