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Regeneron's Libtayo Surround
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MSHO Featured Corporate Sponsor Assistance Programs

• Geron's REACH4RYTELO
• PharmaEssentia Source 
• Takeda Here 2 Assist

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WPS Oncology Related LCD Updates

New, retired, and revised policies/articles

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WPS Recent Oncology Related News

• J5 & J8 Proposed LCD CAC
• Portal Availability
• Routine System Maintenance
• Medicare Hot Links

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WPS Educational Offerings

New training opportunities available

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CMS-Medicare

Recent Oncology Related Articles

• ICD-10-PCS Official Guidelines
• Shared Savings Program
• MLN Matters

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QPP

• 2024 CAHPS for MIPS
• MIPS Value Pathway (MVP)

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Recent RAC Monitor Article

This edition includes articles on

• Misclassification of Drugs, Program Administration & Integrity
• OIG Cases Present Cautionary Tales of Compliance
• Defining the “Usual and Customary Charge”
• Begin Now to Prepare for 2025

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BCBSM/BCN

Recent Oncology Related News

• Requests for Patient Information
• Aug. 1 Site-Of-Care Requirements
• Change to Prior Authorization Process
• 90-Day Extension for Commercial Claim Submission
• And More

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BCBSM/BCN

Publications

• The Record
• BCN Provider News

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Current Payer Issue Tracking Page

Last Reviewed/Updated 6-18-24

• 0885 Claims Denied
• Procrit  Denials (693)
• Procrit or Epoetin Class Drugs Maintenance
• And More

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Resolved Payer Issues

Last Reviewed/Updated 6-18-24

• BCBSM Carelon Letter

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Aetna

• June 2024 OfficeLink Update

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Health Alliance Plan

• Pre-Service, Post-Service, & Urgent Prior Auths
• Change Healthcare Claims Services Restored
• Online Provider Resources
• Prior Auth, Benefit Coverage Updates, & Pharmacy Info

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Medicaid

• Balance Billing Prohibition
• MMP Bulletins
• Biller "B" Aware Notices

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Molina

Recent Oncology Related News

• Submission Process for Code 93971

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Priority Health Update

• SaveOnSP Ended May 31
• pSA Renewal Process Begins June 1
• New Radiation Oncology Auth Program
• Updated 2024 PIP Manual
• And More

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United Healthcare

• Reimbursement Policy Updates
• Medical Policy Updates

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Recent Oncology Related FDA Approvals and Expanded Indications

• Amgen Imdelltra
• Lilly Oncology Retevmo
• Geron Rytelo
• Bristol Myers Squibb Augtyro
• AstraZeneca Imfinzi
• Amgen Blincyto
• Merck Keytruda
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Drug Updates

No New Updates at This Time

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ASK MSHO

June 2024 Frequently Asked Questions

• Medically Necessary Hydration & Blood Transfusion
• Stop Time Not Recorded
• Administration & Treatment of Non-Cancer Diagnoses

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