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• ADVANCING Patient Support by ADC Therapeutics • EAGLE CAN® (Care and Access Network) • KaryForward®: Patient Support by Karyopharm Details >
• Changes to Claims Processing for Non-Physician Practitioners • Infusion Pumps: Prevent Claim Denials • Updated Medicare Hot Links Details >New training opportunities availableDetails >
Recent Oncology Related Articles• Physician Bonuses in Health Professional Shortage Areas • HCPCS Application Summaries & Coding Decisions • 2026 Medicare Advantage and Part D Advance Notice • MLN Matters • And More Details >• 2025 Specialty Measure Sets • 2025 MIPS Resources • Data Submission Open for 2024 Perf ormance Year Details >This edition includes articles on• 2025 Medicare Auditing: Key Changes & Trends • How the Govt Could Push People Toward Medicare Advantage • Coding Challenge: Understanding Underdosing • Navigating Reclassification from Inpatient to Outpatient Observation Details >
Recent Oncology Related News• OncoHealth Manages Our Oncology Value Management Program • Updated Medicare Advantage Coverage Policy • 2025 Medicare Advantage, Part D Formulary Changes Details >Publications• The Record • BCN Provider News Details >
Last Reviewed/Updated 1-21-25• Procrit or Epoetin Class Drugs Maintenance • BCBSM Below Cost Reimbursement Details >Last Reviewed/Updated 1-21-25• 0885 Claims Denied With Reason Code 693 • Procrit or Epoetin Class Drugs Maintenance • Procrit Denials (693) • 505(b)(2) Oncology Products Being Impacted by Prior Auth Details >• New HAP 2025 Medicare Advantage Plans • HAP CareSource Marketplace Plans Coming in 2025 • Benefit Policies, Prior Auth, & Pharmacy Info • Multifactor Authentication Coming Soon Details >• Michigan’s Roadmap to Healthy Communities • MI Selected by CMS to Participate in Behavioral Health Model Details >• Virtual Services Billing Updates • January 30 Billing & Coding Webinar • HMA Members Have Access to Priority Health’s Network • New & Updated Billing Policies • And More Details >• Medical Policy Updates • Reimbursement Policy Updates • Clinical Program Drug Step Therapy • Care Provider Administrative Guide • And More Details >
• Daiichi Sanyko & AstraZenca Datroway ® (datopotamab deruxtecan-dlnk) • Amgen Lumakras® (sotorasib) • AstraZeneca Calquence (acalabrutinib) • Pfizer Braftovi® (encorafenib) • BeiGene Tevimbra® (tislelizumab-jsgr) • Bristol Myers Squibb Opdivo Qvantig™ (nivolumab & hyaluronidase-nvhy) Details >
January 2025 Frequently Asked Questions• Reporting 96376 With 96374 • Coding for IVP Without Stop Time • ISMP Documentation for Administering Higher-Risk Drugs • REMS Eligibility For New Car-T Certified Centers • And More Details >
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