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 AstraZeneca Medicare renewals, click here.
Re-enrollment Hotline: 1 (877) 905-1479
Presented by ASCOWednesday, December 9
12:00 - 1:00 pm Details >Wednesday, December 16
12:00 - 1:00 pm Details >4 Weeks of Michigan Payer UpdatesBlue Cross, Michigan Medicaid, WPS Medicare and Priority Health webinars have completed however, if you missed them, you can still download the handouts and listen to the recordings!
• JUST RELEASED Medicare and Blue cross released the responses to questions submitted! Note: some responses by BCBSM will need additional clarification.
• The response the questions submitted to Medicaid is also available.
• Questions submitted to Priority Health are still pending. Details >
Bristol-Myers Squibb Destination AccessDetails >
November 2020Updates that may be of interest to oncology Including:
• Multiple MolDX Policy Changes along with updates on radoopharmaceuticals and Immune Globulins 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 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• Reminder: Upcoming MIPS Important Dates and Deadlines
• COVID-19 Vaccine: Find Out How to Prepare
• 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
• 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:• Provider Relief Funds: The Hottest RAC Audit Subject Details >
Recent Oncology Related News• NASCO conducting payment recovery for all accounts, including FEP, ITS HOST and MOS, excluding Quicken Loans
• Medical specialty drug prior authorization list will change in January for Blue Cross commercial fully insured groups
• Benefits not loading under enrollee ID for State of Michigan, MPSERS shell contracts
• Prior authorization requests for outpatient CAR-T therapy drugs for Medicare Advantage members.
• 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 HMO 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, multiple RHC Issues Details >
Last Reviewed/Updated 11/18/2020Review 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 >• ePA for pharmacy now available through the Surescripts portal
• 2021 commercial fee schedules now available
• Jan.1, 2021 Commercial and Medicare formulary changes Details >ATTENTION MSHO MEMBERS - IMPORTANT UPDATE• Copay Accumulator Program Begins January 1, 2021 Details >Featuring this month: UnitedHealthcareTidbits regarding:
• Network Bulletin PDF Format Retiring
• Prior Authorization and Notification Requirement Updates
• Leuprolide Acetate Requires Prior Authorization Details >
November 2020, Frequently Asked Questions• Medicare co-pay for outpatient hospital services are capped at the inpatient deductible ($1,408 for 2020)
• How to bill telephone services
• Billing for non-face-to-face physician time for office visits in 2021 Details > |
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