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September 2023
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We’re connecting you to information and resources that can help prevent suicide
Suicide is one of the leading causes of death in the U.S. According to the Centers for Disease Control and Prevention, 48,283 people died by suicide in 2021 (most recent verifiable data). That equates to one death every 11 minutes. Read more.

Inside this issue for you

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

Professional

Blue Cross and BCN behavioral health changes coming Jan. 1
We’re continuing to grow our crisis services program
Starting Jan. 1, 2024, all DME codes will be removed from CareCentrix HIT and AIS program
Physician appointment access survey in progress
How to find Blue Cross and BCN policies related to COVID-19 public health emergency
Help patients avoid a gap in coverage due to Medicaid redetermination
Here’s an overview of our Family Building and Women’s Health Support Solution
Here are some resources for patients monitoring chronic conditions while taking over-the-counter medications
Blue Cross and TurningPoint update medical policies for musculoskeletal and pain management procedures
For commercial LTACH requests, remember to submit information about 3 SNFs to avoid delays
Cost of external peer reviews to increase
New on-demand training available: Check out our new learning path, behavioral health video and more
Lunch and learn webinars for physicians and coders focus on risk adjustment, coding
Reminder: Appeals shouldn’t be submitted for certain clinical edits on Medicare Plus Blue claims
We’re adding more codes to multiple procedure reduction payment policy
We’re making changes to payment policy for debridement procedures billed with arthroscopic procedures
Use new mailing address for provider appeals of some utilization management decisions
Reminder: Confirm data every 90 days and attest in CAQH every 120 days
We updated questionnaires in e-referral system

All Providers

We’re connecting you to information and resources that can help prevent suicide
Do you know about Quartet?
Providers can upload some medical records through Availity Essentials, starting Sept. 16
What to do now that voluntary prior authorization has ended
Subscribe now for Provider Alerts Weekly email
Billing chart: Blue Cross highlights medical, benefit policy changes

Facility

Blue Cross and BCN behavioral health changes coming Jan. 1
We’re continuing to grow our crisis services program
Starting Jan. 1, 2024, all DME codes will be removed from CareCentrix HIT and AIS program
How to find Blue Cross and BCN policies related to COVID-19 public health emergency
Blue Cross and TurningPoint update medical policies for musculoskeletal and pain management procedures
For commercial LTACH requests, remember to submit information about 3 SNFs to avoid delays
Cost of external peer reviews to increase
Lunch and learn webinars for physicians and coders focus on risk adjustment, coding
Reminder: Appeals shouldn’t be submitted for certain clinical edits on Medicare Plus Blue claims
We’re adding more codes to multiple procedure reduction payment policy
We’re making changes to payment policy for debridement procedures billed with arthroscopic procedures
Use new mailing address for provider appeals of some utilization management decisions

DME

Starting Jan. 1, 2024, all DME codes will be removed from CareCentrix HIT and AIS program

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

For news and information about our strategic goals and initiatives, see the current issue of Hospital and Physician Update.

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