CommercialMedicare AdvantageMedicaidAugust 1, 2023
August 2023 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageAugust 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!
CommercialMedicare AdvantageMedicaidAugust 1, 2023
Reminder: Start using the Provider Data Management application now on Availity Essentials — retirement of previous intake channels October 1, 2023
Medicare AdvantageAugust 1, 2023
Reminder: Review the health reimbursement arrangement and care plan updates in Availity Essentials
Administrative
CommercialAugust 1, 2023
Empire BlueCross BlueShield appropriate coding helps provide a comprehensive picture of patients’ health and services providedMedicaidAugust 1, 2023
Clinical Laboratory Improvement AmendmentsCommercialMedicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement AmendmentsMedicare AdvantageJuly 18, 2023
Urinary tract infection tool kits are on the wayCommercialAugust 1, 2023
Federal Consolidated Appropriations Act (CAA) Gag ClauseCommercialAugust 1, 2023
CAA: Review your online provider directory information regularlyCommercialAugust 1, 2023
Provider Manual updated effective November 1, 2023Policy Updates
Medicare AdvantageJuly 3, 2023
Itemized Bill Review (IBR) ProgramCommercialJuly 19, 2023
Updates to Carelon Medical Benefits Management, Inc. Joint Surgery, Small Joint Surgery, and MSK Level of CareCommercialJuly 18, 2023
Expansion of Carelon Medical Benefits Management, Inc. cardiology programs effective October 1, 2023Medicare AdvantageJune 22, 2023
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines for joint surgery and MSK level of careMedicare AdvantageJuly 25, 2023
Prior authorization requirement changes effective November 1, 2023MedicaidAugust 1, 2023
Fylnetra, Stimufend, and Rolvedon Medical Step Therapy NoticeCommercialAugust 1, 2023
Reimbursement policy update: Virtual Visits — Professional and FacilityMedicaidAugust 1, 2023
Technology Assisted Surgical ProceduresMedicare AdvantageAugust 1, 2023
Technology Assisted Surgical ProceduresCommercialAugust 1, 2023
New reimbursement policy: Split Care Surgical Modifiers — ProfessionalProducts & Programs
CommercialAugust 1, 2023
Specialty pharmacy updates for August 2023CommercialAugust 1, 2023
Specialty pharmacy updates - August 2023CommercialAugust 1, 2023
Clinical Criteria updates for specialty pharmacyCommercialAugust 1, 2023
Pharmacy information available on our provider websiteMedicare AdvantageAugust 1, 2023
Medication adherence: Back to the basicsMedicare AdvantageAugust 1, 2023
Why statin therapy is important in your patients with diabetesQuality Management
Medicare AdvantageMedicaidAugust 1, 2023
Healthy blood pressure recheck initiativeCommercialMedicaidAugust 1, 2023
Congenital syphilis is a sentinel health eventCommercialMedicare AdvantageMedicaidJuly 14, 2023
Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® MeasureNYBCBS-CDCRCM-030306-23
Availity, LLC is an independent company providing administrative support services on behalf of the health plan
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