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Stay current on new, retired, and revised policies/articlesDetails >• Delayed Pass-Through and Periodic Interim Payments • Updated Medicare Hot Links Details >New training opportunities availableDetails >
Recent Oncology Related Articles• CMS will implement G2211 in 2024 • CMS Accountable Care Organization Initiatives in 2024 • Increase Access to Sickle Cell Disease Treatments • MLN Matters • And More Details >New 2024 Resources & Webpages on QPP WebsiteDetails >This edition includes articles on• Latest on the No Surprises Act • Physician, Hospital, & Payer Working Together for the Patient • Enhancing Medicare Advantage Transparency • The Impact of Poverty on Health-Related Outcomes • Feds Signal Intent for MA Overhaul Details >
Recent Oncology Related News• Approval Letters to Commercial Inpatient Auths • Rejected Blue Cross Complete Claims • Additional Fee Schedules Added to Provider Portal • We’re Reprocessing BCN Claims That were Denied for QVJ Code Details >Publications• The Record • BCN Provider News Details >
Last Reviewed/Updated 1-17-24• New! Denials for maintenance Retacrit/Procrit • Drug Reimbursement for MVASI • BCBSM Carelon Dismissal Notes Details >Last Reviewed/Updated 2-16-24• BCBSM Medicare Plus Blue Denying J9190 • Optum Denials Preparation & Administration of Drugs Details >• HEDIS® Medical Record Review MY2023 Coming Soon! • Keep Provider Information Updated in NPPES • Prior Auth & Benefit Coverage Policy Updates • Medical Record Review Projects Details >• Medicare Preauthorization & Notification List Changes • Commercial Preauthorization & Notification List Changes • Injectable Drugs & Biologics Step Therapy Requirement • Humana Q1 2024 Newsletter Details >Recent Oncology Related News• Molina Will Exclusively Utilize the Availity Portal for Provider Needs Details >• Incentive Programs • DBM Program • Cost Estimator No Longer Includes Estimates for Medicare • 2024 PriorityMedicare D-SNP MOC Provider Training • And More Details >• Medical Policy Updates • Reimbursement Policy Updates • Special Medical Injectable Drug Program Updates • Pharmacy & Clinical Updates Details >
• AstraZeneca Tagrisso • EMD Serono Tepmetko • Ipsen Onivyde • Janssen Balversa Details > • Pfizer's ELREXFIO (elranatamab-bccm) Granted Injection Pass-Through for Hospital OPPS & Assigned a HCPC C-Code • Pfizer's ELREXFIO (elranatamab-bccm) Assigned a HCPCS J-Code Details >
February 2024 Frequently Asked Questions• Concurrent vs. Sequential Infusions • Billing 9641X Codes • Documentation for Medically Necessary Fluid Replacement Details >
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