February 1, 2025
February 2025 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageMedicaidFebruary 1, 2025
Enhance billing and coding accuracy with new Payment Integrity training
Administrative
CommercialJanuary 16, 2025
Submitting authorization for NICU services facilitates accurate and timely claims processingCommercialFebruary 1, 2025
Medical records needed for accurate payment of certain facility inpatient claimsCommercialMedicare AdvantageMedicaidFebruary 1, 2025
New Communication Center added to Availity EssentialsPolicy Updates
CommercialFebruary 1, 2025
Reimbursement policy update: Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and FacilityCommercialFebruary 1, 2025
New reimbursement policy: Place of Service — ProfessionalProducts & Programs
CommercialFebruary 1, 2025
Corrected claim guidance for the Federal Employee Program®CommercialJanuary 14, 2025
Authorization for post‑acute care services for FEP membersCommercialFebruary 1, 2025
Pharmacy information available on our provider websiteCommercialJanuary 27, 2025
Key formulary updates: effective January 1, 2025MedicaidJanuary 6, 2025
Prior authorization updates for medications billed under the medical benefitEffective March 1, 2025
Kisunla and Piasky
MedicaidFebruary 1, 2025
Partnership with Alto Pharmacy enhances prescription delivery servicesQuality Management
CommercialMedicare AdvantageFebruary 1, 2025
2025 Clinical Quality in Practice webinar seriesCommercialFebruary 1, 2025
Avoidance of Antibiotics Treatment for Acute Bronchitis/Bronchiolitis (AAB)NVBCBS-CDCRCM-076703-25
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