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Together with GSK
To learn more about Together with GSK Oncology, click here

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MSHO Featured Corporate Sponsor Assistance Programs

• Blueprint Medicine's YourBlueprint
• Exelixis Access Service
• ServierONE 

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WPS Oncology Related LCD Updates

Stay current on new, retired, and revised policies/articles

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WPS Recent Oncology Related News

• Customer Service Training Closure
• J8 Part B Targeted Probe & Educate Problem Error Rates
• Updated Medicare Hot Links

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WPS Educational Offerings

New training opportunities available

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Recent Oncology Related Articles

• CMS HIH Helps You Submit Documentation Electronically 
• Integrated Outpatient Code Editor: V 25.0
• New Condition Code 92
• MLN Matters
• And More

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Recent RAC Monitor Article

This edition includes articles on

• CMS Proposes New Appeal Process
• Talking About the Real Thing
• Still Seeking Clarity on the Two-Midnight Rule

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Recent Oncology Related News

• IMPORTANT! Drug Reimbursement for MVASI
• Join BCBSM/BCN Provider Advisory Panel
• Updated Requirements for Some Members in Clinical Trials
• Cancer Program for Commercial Members
• Additional Medical Oncology Drugs to Have Requirements

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• The Record
• BCN Provider News

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Current Payer Issue Tracking Page

Last Reviewed/Updated 1-17-24

• New! Drug Reimbursement for MVASI
• BCBSM Carelon Dismissal Notes

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Resolved Payer Issues

Last Reviewed/Updated 1-16-24

• BCBSM Medicare Plus Blue Denying J9190
• Optum Denials Preparation & Administration of Drugs

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• January OfficeLink Updates
• National Precertification List Updates

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Health Alliance Plan

• After-Hours Access & Appointment Time Standard
• 2024 Medicare Advantage Plans & Benefits

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• Pharmacy Point of Sale Safety Edits
• Vial Size Optimization

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• Coverage Renewal
• Social Determinants of Health Month
• Biller "B" Aware Notices

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Priority Health Update

• Community Health Worker Services Covered by Medicaid
• Replacing APCD Extracts with Data-Rich File
• 2024 Virtual Office Advisory (VOA) Webinars
• New Process for Discharging Patients
• And More

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United Healthcare

• Locate Your Claim Payment Data with More Ease
• New United Healthcare Mailing Address
• And More

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January 2024 Frequently Asked Questions

• Advanced Care Planning Codes 99497 & 99498
• Correcting WPS Claims

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