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Welcome to the Reimbursement Bulletin!

In order to more easily view the new format of this Bulletin, we recommend you view it in your web browser. At the very top it says, "To view this bulletin in a web browser, click here." By viewing it this way, you eliminate the need to go back and forth between your email and web browser, making it much easier to navigate. We hope this helps you enjoy our updated Bulletin!

This Bulletin will be published semi-monthly.  As always, any comments, suggestions, stories or questions can be sent to billing@msho.org. We hope you enjoy this issue!

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A Message From Your E-bulletin Sponsor

AstraZeneca's New FDA Approval

US FDA approves IMFINZI® (durvalumab) for unresectable Stage III non-small cell lung cancer.

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Important Oncology Related News

~ U.S. to cover advanced genomic testing for Medicare cancer patients
~ ASTRO Issues Clinical Guideline For Whole Breast Radiation Therapy

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Did You Miss the WPS Outpatient Hospital Webinar?

The handout is available on the MSHO Website!

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Register Today for MSHO's Spring Reimbursement Meeting

Wednesday, April 25, 2018, 8:00 am - 3:30 pm

Lansing Community College - West Campus

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WPS Oncology Related LCD Updates

March 2018

Including...
~ March 19 UPDATE on the IMPORTANT Changes in the NATIONAL COVERAGE DETERMINATION 110.21 -ERYTHROPOESIS STIMULATING AGENTS

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WPS Recent Oncology Related News

Part A, Part B and Part A/B News

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Join WPS for a Teleconference, Webinar or Seminar!

Check out these upcoming training events....

Including....
~ 4/3 - New to Medicare; Medical Review

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Michigan RAC Information

Region 1 - Performant Recovery, Inc.

March 2018

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Recent RAC Monitor Articles

This edition includes articles on......

~ Medicare and Medicaid RAC Audits: How Auditors Get It Wrong

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CMS-Medicare

Recent Oncology Related Articles

~ Quarterly HCPCS Drug/Biological Code Changes MLN Matters Article
~ Medicare Pharmaceutical and Technology Ombudsman
~ New Medicare Card Transition Begins In Less Than a Month
~ New Medicare Card Project Special Open Door Forum — March 20
~ April 2018 Update of the Hospital OPPS MLN Matters Article
~ Provider Compliance Tips for Laboratory Tests: Other Fact Sheet
~ Provider Compliance Tips for Ordering Hospital Outpatient Services Fact Sheet

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BCBSM/BCN

Recent Oncology Related News

~ Blue Cross to update ClaimsXten with additional professional and outpatient facility edits in June
~ Effective immediately, two CAR T-cell therapies require authorization for Medicare Advantage members
~ Most immune globulin infusions will not be covered at outpatient hospital facilities starting April 1, 2018

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Payer Issue Tracking Page

Last Updated 03/20/18

Review the reported payer reimbursement issues MSHO is currently addressing...

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Medicaid

Recent Oncology Related Issues and News

WE NEED YOUR HELP - ALERT - Thank You, Pending Issue including CPT 96377, MSA Bulletins, Biller "B" Aware Notices

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Priority Health

Oncology Related News

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Newsletters of Interest

~ Aetna OfficeLink Updates
~ BCN Provider News
~ Cigna
~ HAP/HealthPlus ProviderPlus
~ Humana YourPractice
~ UHC NetworkBulletin
~ UHC Medical Policy Update

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Managed Care Committee Reimbursement "TIDBITS"

Featuring this month: Anthem Blue Cross Blue Shield

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"Ask MSHO"

March 2018, Frequently Asked Questions

Topics Include: Hydration, Therapeutic Infusion, Orders, Concurrent Infusion and more...

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