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4 Weeks of Michigan Payer Updates Starting October 21st!Registration is OPEN - Register TODAY! Details >
October 2020Updates that may be of interest to oncology Including:
• Multiple MolDX Policy Changes Details >Part A, Part B and Part A/B NewsIncludes articles that may be of interest to oncology released in the past 2 weeks
• Also, Medicare Hot Links to Fee Schedules, 2021 Proposed Rules, and 2020 Final CMS Rules Details >Check out these upcoming training events:• Part B Rejections and Denials
• Part B Claim Review
• E/M Office and Outpatient Services for 2021 Q and A Teleconferences
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PLUS new on-demand educational opportunity on the 3 Day/1Day Payment Window Part B Details >
Recent Oncology Related Articles• Special Listening Session Radiation Oncology Model - Thursday, October 8, 2020
• Therapeutic Injections and Infusions: Comparative Billing Report
• Participate in Medical Documentation Interoperability Pilot
• CMS Care Compare Empowers Patients When Making Important Health Care Decisions
• Open Payments: Adding 5 Provider Types in 2021
• Office Visits by Nurse Practitioners: Comparative Billing Report
• Recent LearnResource & MedLearn Matters Articles Details >Region 1 - Performant Recovery, Inc.No New Oncology Related Issues Since March:
• Latest under review at that time included: - Bone Marrow Transplants, ESAs for Cancer Patients, and Therapeutic Injections Details >This edition includes articles on:• News Alert: CMS Orders Halt to Loan Repayment
• Provider Audits Hit the Ground Running Following Pause
• New Challenges to Organizations that Compensate Physicians on Productivity
• Telehealth and Medicaid Expansion during COVID Details >
Recent Oncology Related News• CMS to release October 2020 quarterly Medicare pricer update
• AllianceRx Walgreens Prime specialty pharmacy program starts Jan. 1 for certain Blue Cross PPO
• October 20, 2020 ICT Webinar: You've submitted a few claims; now what?
• Medical specialty drug prior authorization lists will changes Monthly for certain members
• BCBSM/BCN: New Secure Provider Website in 2021
• Starting Dec. 1, some drugs covered under the medical benefit will require authorization for Blue Cross and Blue Shield Federal Employee
• IVIG dosing strategy is changing for the Medicare Part B medical specialty drug program, starting Dec. 7
• During the COVID-19 emergency, we're extending global referrals through at least Dec. 31 for BCN HMOSM members Details >Publications• The Record
• BCN Provider News
• Blues Brief for Oncology Providers Details >Monthly Status ReportMany updates/corrections. Listed below is a sampling of what you will find:
• 835 Recoupment isn't reflected on voucher
• 835 CARC 210 sanction amount is incorrect
• System is applying denied authorization to claim in error
• Authorizations coming through are causing claim denials Details >
Last Reviewed/Updated 10/7/2020MSHO MEMBERS:
• Please remember to report any reimbursement issues you are having with a Michigan Payer that you feel is a system issue that should be addressed by MSHO.
• Review the reported payer reimbursement issues including clarifications and issues with Medicare, BCN, UHC, and Blue Cross Complete. Details >Recent Oncology Related NewsMedicaid Updates Include:
• MSA Bulletin Updates
• Biller "B" Aware Notices Details >• Aetna OfficeLink Updates
• Cigna
• HAP
• Humana YourPractice
• UHC Network Bulletin
• UHC Medical Policy Update
Details >• Claims processing for providers at temporary locations for COVID-19 ended Sept. 30
• GuidingCare reminder: no longer accepting in-network authorization faxes and tips for quicker authorization processing
• Cost Estimator available to all providers
• Non-Medicare outpatient services moving to 90-day window for retro authorizations Details >• Copay Accumulator Program Begins January 1, 2021 Details >Featuring this month: Mclaren Health PlanTidbits regarding:
• Telehealth
• Site of Care Drug List
• Claims Require NDC and HCPCS Codes Details >
October 2020, Frequently Asked Questions• Discharge Summary Completed Before Discharge, When to Bill the Service
• 2021 Changes to E & M CME Courses for Physicians
• Sequestration Update
• Medicare Accelerated Repayment Delayed and Additional Money is Available Details > |
