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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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