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• HCPCS Code Update • Determining Payment for Services • Prevent Claim Denials • Medicare Hot Links • And More Details >New training opportunities availableDetails >
Recent Oncology Related Articles• Actions to Make Healthcare Prices Transparent • Medicare Shared Savings Program • Correcting Error to Code C1739 • MLN Matters • And More Details >New 2025 Quality Benchmarks & Other ResourcesDetails >This edition includes articles on• Understanding Extrapolation in Healthcare Billing and Coding Audits • Why is the Hottest Topic Not Included in the No Surprises Act • Taking the Pain out of Pain Coding – Part I • Taking the Pain out of Pain Coding – Part II Details >
Recent Oncology Related News• HCPCS Codes Delayed • Changes to the Oncology Value Management Program • Bill With Correct Prefixes and Contract Numbers for Dates of Service • Medicare Plus Blue HCFA-1500 Claims • And More Details >Publications• Blues Brief • The Record • BCN Provider News Details >
Last Reviewed/Updated 3-19-25• Update! Procrit or Epoetin Class Drugs Maintenance • BCBSM Below Cost Reimbursement Details >Last Reviewed/Updated 3-17-25• 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 >• Spring 2025 Provider Newsletter • March 2025 OfficeLink Update Details >• Extension of Telehealth Services Inpatient Admissions Criteria • Inpatient Admissions Criteria • Update - Payment of Observation Hospital Stays • Keep Provider Information Updated in NPPES Details >Recent Oncology Related News• Provider Bulletin Details >• Telemedicine / Virtual Services Billing Update • Updated 2025 PCP Incentive Program (PIP) Manual • Pontiac General Hospital No Longer Part of Priority Health Network • Collecting Medical Records For Medicare Retrospective Review • And More Details >• Medical Policy Updates • Reimbursement Policy Updates • Pharmacy and Clinical Updates • Specialty Medical Injectable Drug Program Updates Details >
• Merck Keytruda (pembrolizumab) • BeiGene Tevimbra® (tislelizumab-jsgr) Details > • FDA Approved Incyte & Syndax's Niktimvo™ (axatilimab-csfr) 9 mg and 22 mg Vial Sizes Details >
March 2025 Frequently Asked Questions From MSHO & WPS Outpatient Reimbursement Webinar• Billing for Alternative Dosing for Xgeva • Telemedicine Billing after 3-31-25 • G2211 Services • Contacting MUE • And More Details >
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