12/03/2018

Newsletters of Interest

A Few Articles You Won’t Want to Miss:

• Submit your precertification clinical information online
• Clinical payment and coding policy changes
• Our office manual keeps you informed
• Don’t let your network status change — complete your FDR attestation today
• Changes to commercial drug lists begin on January 1, 2019

And Much More….SEPTEMBER Mid-America Region Qtly Issue Available HERE

A Few Articles You Won’t Want to Miss:

• Blue Care Network will continue to offer 19 products for individual marketplace in 2019
• We’ve made improvements to Provider Inquiry
• Reminder: Starting Oct. 1, additional specialty medications required authorization for BCN Advantage^SM members
• BCN Advantage initiating step therapy to certain Part B specialty drugs on the prior authorization program beginning in January
• Specialty pharmacy program helps you care for your patients

And Much More…NOVEMBER/DECEMBER Bi-Monthly Issue Available HERE

Current Issue Available HERE

Current Issue Available HERE   (once on the site, choose NEWS on the left side)

A Few Articles You Won’t Want to Miss:

• Complete 2018 Compliance Training Today
• Note Important Information for Dual-eligible Benefit Coordination
• Learn About the Humana Medicare Advantage Peer-to-Peer Review and Provider Dispute Processes
• New and Revised Pharmacy and Medical Coverage Policies Available

And Much More…Latest Issue Available HERE

 A Few Articles You Won’t Want to Miss:

• Front & Center
  • Network National Laboratory Services Care Providers for 2019
  • Ten Fax Numbers Used for Medical Prior Authorization Retiring on Jan. 1, 2019
  • 340B Drug Pricing Program Expanding in 2019

• UnitedHealthcare Medicare Advantage
  • Peer to Peer Clarification

And Much More…DECEMBER Monthly Issue Available HERE

Oncology Related Articles You Won’t Want to Miss:

Take Note

• Annual CPT^® And HCPCS Code Updates

Medical Policy Updates

Updated:

• Chemosensitivity and Chemoresistance Assays in Cancer - Effective Dec. 1, 2018
• Computerized Dynamic Posturography - Effective Dec. 1, 2018

Medical Benefit Drug Policy Updates

Revised:

• Onpattro^TM (Patisiran) - Effective Dec. 1, 2018
• Self-Administered Medications - Effective Dec. 1, 2018

Coverage Determination Guideline (CDG) Updates

Updated:

• Clinical Trails - Effective Dec. 1, 2018

Utilization Review Guideline (URG) Updates

Revised:

• Specialty Medication Administration - Site of Care Review Guidelines - Effective Jan. 1, 2019

DECEMBER Monthly Issue Available HERE