Welcome to the Reimbursement Bulletin!
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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!
AstraZeneca's New FDA ApprovalUS FDA approves IMFINZI® (durvalumab) for unresectable Stage III non-small cell lung cancer. Details >~ U.S. to cover advanced genomic testing for Medicare cancer patients ~ ASTRO Issues Clinical Guideline For Whole Breast Radiation Therapy Details >
The handout is available on the MSHO Website!Details >Wednesday, April 25, 2018, 8:00 am - 3:30 pmLansing Community College - West Campus Details >
March 2018Including... ~ March 19 UPDATE on the IMPORTANT Changes in the NATIONAL COVERAGE DETERMINATION 110.21 -ERYTHROPOESIS STIMULATING AGENTS Details >Check out these upcoming training events....Including....
~ 4/3 - New to Medicare; Medical Review Details >
Region 1 - Performant Recovery, Inc.March 2018 Details >This edition includes articles on......~ Medicare and Medicaid RAC Audits: How Auditors Get It Wrong Details >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
Details >
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 Details >
Last Updated 03/20/18Review the reported payer reimbursement issues MSHO is currently addressing... Details >Recent Oncology Related Issues and NewsWE NEED YOUR HELP - ALERT - Thank You, Pending Issue including CPT 96377, MSA Bulletins, Biller "B" Aware Notices Details >~ Aetna OfficeLink Updates
~ BCN Provider News
~ Cigna
~ HAP/HealthPlus ProviderPlus
~ Humana YourPractice
~ UHC NetworkBulletin
~ UHC Medical Policy Update
Details >Featuring this month: Anthem Blue Cross Blue ShieldDetails >
~ Proposed Reforms To The 340B Drug Discount Program Details >
March 2018, Frequently Asked QuestionsTopics Include: Hydration, Therapeutic Infusion, Orders, Concurrent Infusion and more... Details >
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