12/03/2018
Newsletters of Interest
A Few Articles You Won’t Want to Miss:
- Submit your precertification clinical information online
- Clinical payment and coding policy changes
- Our office manual keeps you informed
- Don’t let your network status change — complete your FDR attestation today
- Changes to commercial drug lists begin on January 1, 2019
And Much More….SEPTEMBER Mid-America Region Qtly Issue Available HERE
A Few Articles You Won’t Want to Miss:
- Blue Care Network will continue to offer 19 products for individual marketplace in 2019
- We’ve made improvements to Provider Inquiry
- Reminder: Starting Oct. 1, additional specialty medications required authorization for BCN AdvantageSM members
- BCN Advantage initiating step therapy to certain Part B specialty drugs on the prior authorization program beginning in January
- Specialty pharmacy program helps you care for your patients
And Much More…NOVEMBER/DECEMBER Bi-Monthly Issue Available HERE
Current Issue Available HERE
Current Issue Available HERE (once on the site, choose NEWS on the left side)
A Few Articles You Won’t Want to Miss:
- Complete 2018 Compliance Training Today
- Note Important Information for Dual-eligible Benefit Coordination
- Learn About the Humana Medicare Advantage Peer-to-Peer Review and Provider Dispute Processes
- New and Revised Pharmacy and Medical Coverage Policies Available
And Much More…Latest Issue Available HERE
A Few Articles You Won’t Want to Miss:
- Front & Center
- Network National Laboratory Services Care Providers for 2019
- Ten Fax Numbers Used for Medical Prior Authorization Retiring on Jan. 1, 2019
- 340B Drug Pricing Program Expanding in 2019
- UnitedHealthcare Medicare Advantage
- Peer to Peer Clarification
And Much More…DECEMBER Monthly Issue Available HERE
Oncology Related Articles You Won’t Want to Miss:
Take Note
- Annual CPT® And HCPCS Code Updates
Medical Policy Updates
Updated:
- Chemosensitivity and Chemoresistance Assays in Cancer - Effective Dec. 1, 2018
- Computerized Dynamic Posturography - Effective Dec. 1, 2018
Medical Benefit Drug Policy Updates
Revised:
- OnpattroTM (Patisiran) - Effective Dec. 1, 2018
- Self-Administered Medications - Effective Dec. 1, 2018
Coverage Determination Guideline (CDG) Updates
Updated:
- Clinical Trails - Effective Dec. 1, 2018
Utilization Review Guideline (URG) Updates
Revised:
- Specialty Medication Administration - Site of Care Review Guidelines - Effective Jan. 1, 2019
DECEMBER Monthly Issue Available HERE