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Critical to Helping Community Oncology Practices Survive PandemicDetails >
Wednesday, April 21, 2021 - REGISTER TODAY!Details >Presented on February 16, 2021Did you miss this? It was amazing! The handouts are available! Details >
March 2021Updates that may be of interest to oncology including these updates/revisions:
• Tumor Markers • Complex Drug Administration Coding 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 2021 Final Rules and the WPS Fee Schedules Details >Check out these upcoming training events:• Teleconference - Basics of Medicare Documentation • Teleconference - Evaluation and Management: History, Exam, and Medical Decision-Making • On Demand Training -What's New for 2021 Session 2 • On Demand Training for E & M Services • YouTube Training Available Details >
Recent Oncology Related Articles• Biden To Nominate Chiquita Brooks-LaSure To Lead CMS: Reports • Flu & Pneumococcal Shots: Protect Your Patients • Improving Accuracy of Medicare Payments • Care Compare: 2019 Preview Period Open through March 25 • Open Payments Data • Payment for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments • Recent LearnResource & MedLearn Matters Articles Details >Region 1 - Performant Recovery, Inc.No New Oncology Related Issues Since March, 2020: • Latest under review at that time included: - Bone Marrow Transplants, ESAs for Cancer Patients, and Therapeutic Injections Details >This edition includes articles on:• Kickbacks in the Medicare Advantage Program: $12.5 million Settlement in Whistleblower Case • No Surprise. It's the Law! Details >
Recent Oncology Related News• HCPCS replacement codes established • Update to Medicare Plus BlueSM PPO Manual coming in April 2021 • Starting in May, additional medical benefit drugs will require prior authorization for some Blue Cross commercial members • Register today for the March PGIP quarterly meeting • There's a new information bubble icon in Benefit Explainer related to diagnosis • Medical benefit specialty drug prior authorization list changing in April for most members • Some drugs not payable when administered by a health care professional to Blue Cross and BCN commercial members, starting April 1, 2021 • Changes coming to preferred products for drugs covered under the medical benefit for most members, starting April 1, 2021 Details >Publications• The Record • BCN Provider News 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 • Authorizations coming through are causing claim denials, multiple RHC Issues Details >
Last Reviewed/Updated 3/2/21Review the reported payer reimbursement issues including clarifications and issues with WPS Medicare, BCBSM, Medicare Plus Blue, BCN Advantage, and UHC Community Plan 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 >• Oncology supportive care medication sourcing requirement • Radiation therapy prior authorization update Details >• IMPORTANT - Telehealth Billing Process and Policy Updates March 1 • Post-Claims Appeals and Medical Records • Changes to our preferred biosimilars for pegfilgrastim effective April 1 Details >Featuring this month: HumanaTidbits regarding: • Claim processing edit notifications • Claim payment inquiry resolution process guide • Telehealth FAQs Details >
March 2021, Frequently Asked QuestionsMultiple Questions Related to the New E & M Guidelines • Time or MDM • What are Social Determinants of Health • Ordering and Reviewing Tests • Can't Count a CBC You Bill For in MDM • Reviewing Labs Ordered by Another Physician in the Group • Can I Count Time at Tumor Board • Pre-Charting Details >
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