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Live Event November 10, 2021, Schoolcraft College, LivoniaDetails >Recordings And Handouts Will Be Available By The End of Next Week!Details >Be sure to share this recorded webinar with your physicians and staff! Details >
Education to Enhance Provider Awareness of the Depression Screening Benefit for Medicare PatientsDetails >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) • 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• Medicare Pays to Help Patients Plan - Advanced Care Planning • Telehealth Services: Bill Correctly • Diagnosis Coding: Using the ICD-10-CM Web-Based Training — Revised • How to Use the Medicaid NCCI Tools • 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 • 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 an article on:•The ALJ Backlog Dissolves – and Supplemental Medical Review Contractor (SMRC) Audits Escalate Details >
Recent Oncology Related News• Abecma® to require prior authorization for commercial members starting April and May • Some Medicare Supplemental claims rejecting in error • Duplicate Crossover claims • Spravato® and Panzyga® to require prior authorization starting July 12 for URMBT PPO non-Medicare members • 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 • 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 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 4/20/21Review 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 >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
•MSHO MEMBERS - You can access and search previous FAQs! Scroll to the bottom of the Q & As to find out how! Details >
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