Georgia
Provider Communications

August 2018 BCBSGa Provider Newsletter

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Title	Category
We’re changing our trade name	Administrative
2018 BCBSGa provider Town Hall meeting schedule update	Administrative
Member explanation of benefits gets a makeover	Administrative
Care and Cost Finder – new sort option	Administrative
BCBSGa to enhance automated claim edits for professional claims	Administrative
Submit clinical information with request	Administrative
Important information about billing colonoscopy and related anesthesia services	Administrative
Federal Employee Program® (FEP) paper claims and claims related correspondence mailing address	State & Federal
Vaginal birth after cesarean (VBAC) certified shared decision making aid available on the web	Administrative
Improved claims escalation process	Administrative
BCBSGa engages with Alliant Health Solutions	Administrative
Availity is BCBSGa’s designated EDI Gateway	Administrative
Interactive Care Reviewer (ICR) tool enhancements	Administrative
Introduction to Availity EDI Gateway services for BCBSGa provider organizations	Administrative
Streamlined workflow for solicited medical attachments	Administrative
MyDiversePatients.com: A website to support your diverse patients	Administrative
Are you looking for innovative ways to improve your patients’ experiences and earn CME credits?	Administrative
Use the Provider Maintenance Form to update your practice information	Administrative
Clinical Practice and Preventive Health guidelines available on the web	Administrative
HEDIS® 2018: provider incentive winners announced	Administrative
Additional support available for members with rare conditions	Products & Programs
BCBSGa expands specialty pharmacy prior authorization list	Pharmacy
BCBSGa expands specialty pharmacy clinical site of care (level of care) drug list	Pharmacy
BCBSGa to update drug lists supporting commercial health plans	Pharmacy
BCBSGa accepts prior authorization requests for prescription medications online	Pharmacy
BCBSGa applies daily morphine equivalent dosing limit	Pharmacy
Pharmacy information available on the web	Pharmacy
Updates to AIM advanced imaging clinical appropriateness guidelines	Policy Updates
Update to AIM radiation oncology clinical appropriateness guidelines	Policy Updates
Archived medical policy	Medical Policy & Clinical Guidelines
Important billing update for professional delivery claims	Policy Updates
New prior authorization requirement for EGD services begins November 1, 2018	Policy Updates
Professional reimbursement policy updates	Reimbursement Policies
Notification of preapproval list changes 8/1/18	Medical Policy & Clinical Guidelines
Medical policy and clinical guideline updates 8/1/2018	Medical Policy & Clinical Guidelines
MA members receive incentives for completing screenings	Medicare
BCBSGa adopts Milliman Care Guidelines for inpatient rehabilitation, subacute rehabilitation and skilled nursing facility clinical reviews	Medicare
DME providers and physicians: important wheelchair prior authorization information	Medicare
Submit PA medication requests electronically; new phone number for MA prescription PAs effective Sept. 1	Medicare
CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective Jan. 1, 2019	Medicare
MyDiversePatients.com addresses health care disparities	Medicare
Keep up with Medicare news	Medicare
Provider transparency update	Administrative

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