To view the JEVTANA PI, click here
Includes Higher Hospital Price Transparency PenaltyDetails >New Roadmap for High-Quality Cancer Care DeliveryDetails >
Live Event November 10, 2021, Schoolcraft College, LivoniaDetails >
July 2021Updates that may be of interest to oncology including:
• Revisions to Complex Drug Administration and many MolDx updates 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:• On Demand Training: Appeals - Understanding the Basics • CMS 1500 Billing Basics • What's New for 2021 - Session 2 • E & M Services for 2021 • 3 day/1 Day Payment Window • New YouTube Training Available Details >
Recent Oncology Related Articles• ICD-10-CM Codes: FY 2022 • Medicare Billing: Form CMS-1500 and 837 Professional Web-Based Training — Revised • Medicare Billing: Form CMS-1450 and 837 Institutional Web-Based Training — Revised • COVID-19 Accelerated and Advance Payment (CAAP): New Frequently Asked Questions (FAQs) Now Available • Quality Payment Program: 2021 APM Incentive Payments • 2019 Quality Payment Program: Performance Information on Care Compare • Medicare Secondary Payer • Importance of Proper Documentation: Provider Minute Video • Medicare Quarterly Provider Compliance Newsletter • CMS Reweights 2020 MIPS Cost Category; Apply Now for 2021 MIPS Hardship Exceptions; 2018-2019 Cost Measure Benchmark Files Released • Recent LearnResource & MedLearn Matters Articles Details >Region 1 - Performant Recovery, Inc.Under Review: • Positron Emission Tomography for Initial Treatment Strategy in Oncologic Conditions • Next Generation Sequencing Medical Necessity and Documentation Requirements Details >This edition includes articles on:• OIG Telehealth Audits Ramping Up • Are Doctors Required to Use Words Rather than Codes? Details >
Recent Oncology Related News• IMPORTANT - Payment for certain drugs administered by health care provider no longer a benefit in October • Michigan outpatient facilities must bill NDCs with NOCs or commercial claims will reject, starting in August • Reminder: Check for authorization requirements, not all Blue Cross patients require AIM authorization • Procedure codes *70554 and *70555 to require prior authorization from AIM starting Sept. 1 for Blue Cross commercial and Medicare Plus BlueSM members • We're adjusting our systems to pay all rituximab claims for the same diagnostic indications for Blue Cross commercial members • Reimbursement for Lupron Depot® and Eligard® to change on Aug. 1 for all commercial members • Four additional drugs to require prior authorization for Blue Cross URMBT non-Medicare members, for dates of service on or after Sept. 7 Details >Publications• The Record • BCN Provider News • Just Released - 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 • The system is applying a denied authorization to a claim in error • Multiple RHC Issues Details >
Last Reviewed/Updated 7/20/21Review the reported payer reimbursement issues including: • MPB diagnosis loading for biosimilars to match brand drugs • Aetna denials for initial inpatient codes & need to bill with consultation codes 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
• UHC Reimbursement Policy Update
Details >• Are you a new provider to Priority Health? • Transition of Care for New Priority Health Medicaid Members Details >Featuring this month: Meridian Health Plan of MichiganTidbits regarding: • Provider Network Management Representatives • CMS Regional Office Representative • Meridian PBM Details >
Both in-person and online - September 24 - 25Details >How to keep getting paid for telehealth in 2021Details >
July 2021, Frequently Asked Questions• Billing Administration with Free Drug • NCCN Update Request • Who Can Perform Advanced Care Planning MSHO MEMBERS - You can access and search previous FAQs! Scroll to the bottom of the Q & As to find out how! Details >
|