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To learn more about Pfizer's Oncology Together, click here.
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Oct 18 is last day for discounted pricingDetails >
• Lilly Oncology Support Center
• Natera Signatera
• Rigel OneCare Details > 
Stay current on new, retired, and revised policies/articlesDetails >• HOPD Prior Authorization Requests
• New CMS 855I Released
• Website Redesign
• Medicare Hot Links Details >
Recent Oncology Related Articles• CY 2024 Part A Premiums
• Oral Anticancer & Antiemetic Drugs
• Infusion Pumps & Related Drugs
• 12 Months of Mandatory Continuous Coverage for Children
• And More Details >• Scoring for CY 2023
• Promoting Interoperability Programs
• Changes to 2023 Submission Experience
• Relevant Resources Details >This edition includes articles on• Staying Current with Medical Necessity
• The Benefits of Revenue Cycle Operational Assessment Times of Financial Crisis
• A Suggestion for Addressing Medicare Advantage Plans that Refuse to Do What They’re Told
• Transfers and Medicare Payment – Who Knew it Could Be So Complex? Details >
Recent Oncology Related NewsIMPORTANT - PLEASE READ!
• Changes to preferred drug designations and prior authorization requirements
• Changes to preferred drug designations under the medical benefit for most commercial member
• Auto-assign a primary care provider
• Additional fee schedules added to our provider portal
• And More Details >Publications• The Record
• BCN Provider News Details >
Last Reviewed/Updated 10/17/23• BCBSM Carelon Dismissal Notes
• Medicare Plus Blue Denying J9190
• Optum Denials Preparation & Administration of Drugs Details >• Commercial Preauthorization and Notification List
• Medicare Advantage and Dual Medicare-Medicaid Plans Preauthorization and Notification List Details >• HAP CareSource exclusive EDI gateway service Details >Recent Oncology Related NewsMedicaid Updates Include
• MSA Bulletin Updates
• Biller "B" Aware Notices Details >• New clinical edit goes into effect Dec 5
• Claims temporarily denying incorrectly
• New clinical edits for professional claims go into effect Nov 26
• Provider enrollments error occurring in prism
• And More Details >• Specialty Medical Injectable Drug Program Updates
• Medicare Part B Step Therapy Prior Authorization Requirements
• Submit Oral Chemotherapeutic Prior Authorizations to CGP
• And More Details >
• Bristol Myers Squibb Reblozyl
• Pfizer Bosulif
• Bristol Myers Squibb Opdivo
• Merck Keytruda Details >
October 2023 Frequently Asked Questions• Medicare JZ and JW modifiers Details > |
