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AstraZeneca Access 360

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MSHO Featured Corporate Sponsor Assistance Programs

• myBeiGene
• Stemline ARC
• Taiho Oncology Patient Support 

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WPS Oncology Related LCD Updates

• Revised Policies / Articles

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WPS Recent Oncology Related News

• Proposed LCD Open For Comment
• Change Request 13754
• Updated Medicare Hot Links
• And More

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WPS Educational Offerings

New training opportunities available

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CMS-Medicare

Recent Oncology Related Articles

• Medicare Physician Fee Schedule Final Rule
• HOPPS & Ambulatory Surgical Center Payment System Final Rule
• 2025 Policy Changes for the Quality Payment Program
• MLN Matters

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MIPS

• Important Dates and Deadlines
• 2023 Final Scores & 2025 Payment Adjustments
• 2024 MVP Registration Open

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Recent RAC Monitor Article

This edition includes articles on

• Telehealth as Physician Fee Schedule Arrives
• Understanding Medicare Physician Fee Schedule Final Rule
• Coding Changes in ICD-10-CM/PCS
• Observation Services & Orders:UHC
• Big Essentials of Coding

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BCBSM/BCN

Recent Oncology Related News

• Changes to Preferred Drug Designations
• Update to Medicare Advantage Coverage Policy
• Which Oncology Drugs to Require Prior Auth Starting Jan. 1
• Update on Oncology Value Management Program
• Medicare Advantage, Part D Formulary Changes

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BCBSM/BCN

Publications

• The Record
• BCN Provider News

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Current Payer Issue Tracking Page

Last Reviewed/Updated 11-18-24

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

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Aetna

• Changes Coming to Medical Plan Drug Lists
• Changes Coming to Our Medical Plan Drug Lists
• November 2024 OfficeLink Update

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Health Alliance Plan

• Critical IV Fluid Shortage
• Benefit Policies, Prior Auths, & Pharmacy Info
• CareSource Marketplace Plans Coming in 2025

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Medicaid

• MMP Bulletin

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Priority Health Update

• Nov. 21 Webinar on Formulary Changes
• 2025 Commercial Fee Schedules Available
• 2025 Disease Burden Management Program
• IV Fluid Shortage
• And More

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United Healthcare

• Medical Policy Updates

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Recent Oncology Related FDA Approvals and Expanded Indications

Genentech Itovebi (inavolisib)
Astellas VYLO (zolbetuximab-clzb)
Novartis Scemblix (asciminib)
Syndax Revuforj (revumenib)

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Drug Updates

• AstraZeneca's TRUQAP Blister Pack Launch
• Amgen's New J-Code & Dose Dexcriptor / Billing Unit for Nplate

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ASK MSHO

November 2024 Frequently Asked Questions

• Medicare Coverage for “Not Usually Self-Administered”
• IV Infusion “Each Additional Hour”
• Concurrent Infusion VS Initial/Sequential Infusion

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