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House is unlikely to take up the legislation until next month as the chamber is in recess until the middle of April Details >Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction SuspensionDetails >
Thursday, April 15, 2021 / 10:00 am to 4:00 pmYour Blood can save lives. Come to give and get a $10 Gift Card by email thanks to Amazon Details >Wednesday, April 21, 2021 - REGISTER BY APRIL 14th!Details >Webinar presented on February 16, 2021The recording has just been released! Be sure to share with your physicians and staff! Details >
April 2021Updates that may be of interest to oncology including these updates/revisions:
• Many MolDX Policy Changes/Updates 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 2021 Final Rules and the WPS Fee Schedules Details >Check out these upcoming training events:• Ask-the-Contractor Teleconferences (ACT)
• Patient Status
• On Demand Training -What's New for 2021 Session 2
• On Demand Training for E & M Services
• YouTube Training Available Details >
Recent Oncology Related Articles• Repayment of COVID-19 Accelerated and Advance Payments Began on March 30, 2021
• Quarterly Provider Update
• Update to the Manual for Telephone Services, Physician Assistant (PA) Supervision, and Medical Record Documentation for Part B Services
• Non-Physician Outpatient Services Provided Before or During Inpatient Stays: Bill Correctly
• Average Sales Price Files: April 2021
• April 2021 HCPCS Code Update
• Intravenous Immune Globulin Demonstration
• Recent LearnResource & MedLearn Matters Articles Details >Region 1 - Performant Recovery, Inc.No New Oncology Related Issues Since March, 2020:
• Latest under review at that time included: - Bone Marrow Transplants, ESAs for Cancer Patients, and Therapeutic Injections Details >This edition includes articles on:• Are you with the FBI, or the F-I-B?
• The Physician Advisor as a Quarterback in Managing Silos
• Washington Week in Review: The Public Option, Sequester, and a New HHS Secretary Details >
Recent Oncology Related News• CMS expected to release April 2021 quarterly Medicare pricer update
• Reminder: There's a new information bubble icon in Benefit Explainer related to diagnosis
• 2% sequestration suspension extended to April 30, 2021
• NEW Last Trans files now available in TM
• AbecmaTM to require prior authorization for Medicare Advantage members starting April 5
• Additional medications will require prior authorization for most members starting May 24
• Starting in June, additional medical benefit drugs will require prior authorization for some Blue Cross commercial members
• Michigan outpatient facilities must bill NDCs with NOCs or commercial claims will reject, starting in August
• CMS first-quarter 2021 HCPCS codes are delayed
• Additional medications will require prior authorization for Medicare Advantage members, starting June 22
• Easier access to RC Claim Assist
• Starting in June, we'll use clinical information to validate providers' answers to some questionnaires in the e-referral system
• Starting in May, additional medical benefit drugs will require prior authorization for some Blue Cross commercial members
• Medical benefit specialty drug prior authorization list changing in April for most members Details >Publications• The Record
• BCN Provider News 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 4/6/21Review the reported payer reimbursement issues including clarifications and issues with BCBSM and BCN Advantage 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
Details >• Oncology supportive care medication sourcing requirement Details >Featuring this month: Priority HealthTidbits regarding:
• Alliance with Cigna
• Changes to Preferred Biosimilars
• New Portal Coming Soon Details >
April 2021, Frequently Asked Questions• Prolonged visits - 99417 vs G2212
• ICD10 History Of Cancer Adjuvant Breast Cancer Therapy
• Counting CBC in E & M MDM
• Billing "Chemo Teaches" as E & M Visit Details > |
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