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4 Weeks of Michigan Payer Updates Starting October 21stBlue Cross Presented on October 21st - You can still receive the handouts and listen to the recording
• Registration is OPEN for the remaining programs - 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• Trump Administration Announces Historically Low Premiums and New Insulin Benefit as Medicare Open Enrollment Begins
• Laboratories: Pay Your CLIA Certification Fees Online
• Laboratory Quick Start Guide for CLIA Certification
•Provider Compliance Tips — Revised
• CMS No Longer Accepting COVID-19 Accelerated/Advance Payment Applications
• 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:• Warning: Opdivo is New RAC Target
• Hospital Pricing Transparency on the Horizon Details >
Recent Oncology Related News• UPDATE: Medicare Part A and B 277CA rejections – Action Required
• Coverage for autologous tandem transplant for Hodgkin lymphoma removed effective January 2021
• AllianceRx Walgreens Prime specialty pharmacy program starts Jan. 1 for certain Blue Cross PPO
• 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 10/20/2020Review the reported payer reimbursement issues including clarifications and issues with WPS Medicare, BCBSM, BCN, Medicare Plus Blue, and UHC. 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 >• Reminder: Submit post-claim appeals and medical records through the Claims tool
• 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 > |
