CommercialOctober 1, 2018
October 2018 BCBSGa Provider Newsletter
Administrative
CommercialOctober 1, 2018
Health Services must be reported in accordance to Coded Service Identifier guidelinesCommercialOctober 13, 2018
Update to Durable Medical Equipment – effective October 14, 2018CommercialOctober 1, 2018
Use the Provider Maintenance Form to update your practice informationCommercialOctober 1, 2018
Special Investigations Unit updatesCommercialOctober 1, 2018
Availity EDI Gateway webinars scheduledCommercialOctober 1, 2018
New operating system changesCommercialOctober 1, 2018
BCBSGa and Availity have partnered to operate the EDI GatewayCommercialOctober 1, 2018
Integrated medical and behavioral healthcare servicesCommercialOctober 1, 2018
Refer patients to in-network providersCommercialOctober 1, 2018
Explore new enhancements to the Education and Reference CenterCommercialOctober 1, 2018
Tips for billing CPT modifier 33CommercialOctober 1, 2018
Reminder to use Laboratory Corporation of AmericaCommercialOctober 1, 2018
Clinical Practice and Preventive Health guidelines available on the webPolicy Updates
CommercialOctober 1, 2018
Notification of preapproval list changesCommercialOctober 1, 2018
Update to AIM Specialty Health radiation oncology clinical appropriateness guidelinesCommercialOctober 1, 2018
Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelinesCommercialOctober 1, 2018
Update to AIM Specialty Health clinical appropriateness guidelines: advanced imaging appropriate use criteria: imaging of the heartCommercialOctober 1, 2018
Medical policy and clinical guideline updates 10/1/2018CommercialOctober 1, 2018
New reimbursement policy: readmissions (Facility)CommercialOctober 1, 2018
New reimbursement policy: Revenue Code Billing (Facility)CommercialOctober 1, 2018
Claims Requiring Additional Documentation reimbursement policy update (Facility)CommercialOctober 1, 2018
Assistant Surgeon Coding update (professional)CommercialOctober 1, 2018
Documentation and Reporting Guidelines for E/M Services update (professional)CommercialOctober 1, 2018
Routine Obstetrical Services update (professional)Products & Programs
CommercialOctober 1, 2018
Notice about the PAR NetworkCommercialOctober 1, 2018
BCBSGa Community Care Coordination expands relationship with Preferred Community Health Partners to support commercial members with complex needsCommercialOctober 1, 2018
BCBSGa fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted TherapyCommercialOctober 1, 2018
Pharmacy information available on the webCommercialOctober 1, 2018
BCBSGa expands specialty pharmacy prior authorization listCommercialOctober 1, 2018
BCBSGa expands specialty pharmacy clinically equivalent drug listCommercialOctober 1, 2018
BCBSGa expands specialty pharmacy level of care (clinical site of care) drug listCommercialOctober 1, 2018
Access patient-specific drug benefit information through EMRState & Federal
Medicare AdvantageOctober 1, 2018
Genetic testing prior authorization by ordering physician helps ensure accurate lab paymentMedicare AdvantageOctober 1, 2018
BCBSGa transitions MA back pain management and cardiology UM programs from OrthoNet to AIMMedicare AdvantageOctober 1, 2018
Please evaluate statin use for MA members with diabetes, cardiovascular diseaseMedicare AdvantageOctober 1, 2018
Medicare pharmacy and prescriber home starts January 2019Medicare AdvantageOctober 1, 2018
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