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Live Event November 10, 2021 - Schoolcraft College, LivoniaDetails >
September 2021Updates that may be of interest to oncology including:
• MolDX: Molecular Diagnostic Tests Details >Part A, Part B and Part A/B NewsIncludes articles that may be of interest to oncology released in the past 2 weeks • Also, Medicare Hot Links to 2022 Proposed Rules, 2021 Final Rules and the WPS Fee Schedules Details >Check out these upcoming training events:• Teleconference: ABN: What’s New and What’s Not • On Demand Training: Appeals - Understanding the Basics • E & M Services for 2021 • 3 day/1 Day Payment Window • New YouTube Training Available Details >
Recent Oncology Related Articles• Impact of the PHE on Telehealth: Comparative Billing Report in August • CMS Resumes Targeted Probe & Educate Program • Clinical Diagnostic Laboratories: Private Payor Rate-Based CLFS Resources • Recent LearnResource & MedLearn Matters Articles Details >Region 1 - Performant Recovery, Inc.MSHO NOTE: Many MSHO members have reported recent RAC audits related to waste and single dose vials! - MSHO working with the RAC to bring our members education - Be sure to click the details button below and read our 8/30/21 update!
Also, newest approved issues listed on RAC website: • Positron Emission Tomography for Initial Treatment Strategy in Oncologic Conditions • Next Generation Sequencing Medical Necessity and Documentation Requirements Details >This edition includes an article on:• More Money for CMS Means More Medicare Audits Details >
Recent Oncology Related News• Internet Claim Tool taxonomy code edit error • How to submit prior authorization requests for drugs that are managed by AIM when the drugs are prescribed for non-oncology diagnoses • We’re updating our policy for non-chemotherapy drug administration coding • Register today for the September PGIP quarterly meeting — in Lansing, Michigan • Audit vendor HMS is launching an updated provider portal • Four additional drugs to require prior authorization for Blue Cross URMBT non-Medicare members, for dates of service on or after Sept. 7 • RybrevantTM requires prior authorization for dates of service on or after Sept. 27 for most members • Payment for certain drugs administered by health care provider changing in October • Additional drugs require prior authorization for Blue Cross URMBT non-Medicare members, starting Nov. 1 • AsparlasTM to require prior authorization for Blue Cross URMBT non-Medicare members, starting Nov. 1 Details >Publications• The Record • BCN Provider News • Just Released - Blues Brief for Oncology Providers Details >Monthly Status ReportMany updates/corrections. Listed below is a sampling of what you will find: • 835 Recoupment isn't reflected on voucher • 835 CARC 210 sanction amount is incorrect • The system is applying a denied authorization to a claim in error • Multiple RHC Issues Details >
Last Reviewed/Updated 8/31/21Review the reported payer reimbursement issues including: • MPB diagnosis loading for biosimilars to match brand drugs, claims being reprocessed • Confusion and clarification non-oncology Colony Stimulating Factor prior authorization Details >Recent Oncology Related NewsMedicaid Updates Include: • MSA Bulletin Updates • Biller "B" Aware Notices Details >• Aetna OfficeLink Updates
• Cigna
• HAP
• Humana YourPractice
• UHC Network Bulletin
• UHC Medical Policy Update
• UHC Reimbursement Policy Update
Details >• Prism Launches this September • A Member Programs Catalog Now Available • New preferred products for Medicare Part B drugs start Oct. 14 (Includes Erythropoietin stimulating agents) Details >Featuring this month: HAPTidbits regarding: • Easier Access to the Provider Portal Coming Soon! • Billing Guidelines for COVID-19 Were Updated August 20 • Important Contact Information for Providers Details >
Both in-person and online - September 24 - 25Details >
September 2021, Frequently Asked Questions• NPP Billing for Genetic Counseling • Billing and Infusion as a Push • Utilize the Smallest Available Vial • Billing for "Chemo Teach"
MSHO MEMBERS - You can access and search previous FAQs! Scroll to the bottom of the Q & As to find out how!
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