CommercialMedicare AdvantageMedicaidMay 31, 2023
June 2023 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageMedicaidMay 31, 2023
Introducing Roster Automation to improve turnaround times and data accuracy
CommercialMay 31, 2023
Correction: Federal Employee Program® Quality Reimbursement program update
CommercialMay 31, 2023
Physician network fee increase for commercial products
Administrative
MedicaidMay 24, 2023
Help your patients stay coveredCommercialMay 31, 2023
CAA: Have you reviewed your online provider directory information lately?CommercialSeptember 1, 2023
Consider a FIT kit for your patients aged 45 and older at average risk for colon cancerCommercialMay 31, 2023
CORRECTION: Notification about submitting itemized billsCommercialMay 31, 2023
Digital notifications are coming June 1, 2023MedicaidMay 31, 2023
CPT Category II code reimbursementsEducation & Training
CommercialMedicaidMay 31, 2023
Building Vaccine Confidence – A webinar hosted by PfizerPolicy Updates
CommercialMay 31, 2023
Clinical Criteria updates for specialty pharmacyCommercialMay 31, 2023
HCPCS to revenue code alignment – Evaluation/ManagementCommercialMay 19, 2023
MCG Care Guidelines 27th EditionMedicare AdvantageMay 31, 2023
MCG Care Guidelines 27th EditionMedicare AdvantageMay 4, 2023
Clinical Criteria Updates December 2022MedicaidMay 17, 2023
MCG Care Guidelines 27th EditionMedicare AdvantageMay 11, 2023
Clinical Criteria Updates February 2023CommercialMedicare AdvantageMay 31, 2023
Updates to Carelon Medical Benefits Management, Inc. Advanced Imaging, Sleep Disorder Management, and Spine Surgery Clinical Appropriateness GuidelinesMedicaidMay 23, 2023
Transition to Carelon Medical Benefits Management, Inc. MRI Breast Clinical Appropriateness GuidelinesMedicaidMay 31, 2023
Updates to Carelon Medical Benefits Management, Inc. Advanced Imaging, Sleep Disorder Management and Spine Surgery Clinical Appropriateness GuidelinesMedicaidMay 18, 2023
Medical Policies and Clinical Utilization Management Guidelines updateCommercialMay 31, 2023
Effective August 1, 2023, Carelon Medical Benefits Management, Inc. programs will expandMedicaidMay 31, 2023
Prior Authorization Update for Briumvi, Elahere, Imjudo, Leqembi, Pedmark, Sunlenca, Tecvayli, TzieldMedicaidMay 31, 2023
Carelon Medical Benefits Management, Inc. Genetic Testing CPT Code List updateCommercialMay 31, 2023
Reimbursement policy update: Bundled Services and Supplies policy – ProfessionalCommercialMay 31, 2023
New reimbursement policy: Provider Preventable Conditions – Professional and FacilityCommercialMay 31, 2023
Reimbursement policy update: Bundled Services and Supplies — ProfessionalProducts & Programs
CommercialMay 31, 2023
Expansion of Back Pain Guide Program effective July 1, 2023CommercialMay 31, 2023
OBRA 93 claim filing for Federal Employee ProgramCommercialMay 1, 2023
Pharmacy information available on our provider websiteCommercialMay 31, 2023
Specialty pharmacy updates – June 2023Medicare AdvantageMay 31, 2023
Empire BlueCross BlueShield expands specialty pharmacy precertification listMedicare AdvantageMay 31, 2023
Medicare Part B Step Therapy VegzelmaCommercialMay 31, 2023
BioPlus provider FAQQuality Management
Medicare AdvantageMay 22, 2023
SPC ExclusionsCommercialMedicare AdvantageMay 31, 2023
Patient Safety SNF SurveyNYBCBS-CDCRCM-024897-23
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