CommercialMedicare AdvantageNovember 1, 2024

November 2024 Provider Newsletter

Featured Articles

Quality ManagementCommercialMedicare AdvantageOctober 24, 2024

Time to prepare for HEDIS medical record review

AdministrativeCommercialOctober 23, 2024

Do you offer telehealth services? Let us know!

Education & TrainingMedicare AdvantageOctober 15, 2024

Model of Care training reminder


Administrative

AdministrativeCommercialNovember 1, 2024

Anesthesia billed time units — Commercial

AdministrativeCommercialNovember 1, 2024

Personalized Match update

Digital SolutionsCommercialNovember 1, 2024

Adopting digital member ID cards

Behavioral Health

Behavioral HealthCommercialNovember 1, 2024

Introducing a new Applied Behavior Analysis Provider Resource Guide

Policy Updates

Prior AuthorizationCommercialNovember 1, 2024

Precertification List Change Notification — November 1, 2024

Prior AuthorizationCommercialNovember 1, 2024

Precertification List Change Notification — November 1, 2024

Codes J3393 and J3394

Prior AuthorizationMedicare AdvantageSeptember 24, 2024

Prior authorization requirement changes

Effective February 1, 2025

Reimbursement PoliciesCommercialNovember 1, 2024

Reimbursement policy update: Nurse Practitioner and Physician Assistant Services

Reimbursement PoliciesCommercialNovember 1, 2024

Reimbursement policy reminder: Multiple Surgery — Facility

Products & Programs

Federal Employee Program (FEP)CommercialNovember 1, 2024

Submit corrected claims electronically for the Federal Employee Program®

PharmacyCommercialJuly 1, 2024

Correction: Specialty pharmacy updates — July 2024

PharmacyCommercialOctober 24, 2024

Specialty pharmacy updates — November 2024

PharmacyMedicare AdvantageNovember 1, 2024

Improving patient outcomes: back to the basics

CTBCBS-CRCM-070443-24

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).