07/10/2018
Newsletters of Interest
A Few Articles You Won’t Want to Miss:
- Our office manual keeps you informed
- The appeals address for commercial Coventry plans has changed
- Don’t let your network status change — complete your FDR attestation today
- Help is available if you’re having issues with the new Medicare cards
- Important pharmacy updates
And Much More….JUNE Mid-America Region Qtly Issue Available HERE
A Few Articles You Won’t Want to Miss:
- BCN is updating its clinical editing system
- Blue Care Network updates professional fees July 1
- Helpful hints to expedite your Provider Secured Services application
- Starting Oct. 1, additional specialty medications require authorization for BCN Advantage members
- BCBSM and BCN drug lists updated, available online
- How to accurately code for immunosuppression and immunodeficiency
And Much More…JULY/AUGUST Bi-Monthly Issue Available HERE
Current Issue Available HERE
Current Issue Available HERE (once on the site, choose NEWS on the left side)
A Few Articles You Won’t Want to Miss:
- Prepare Now for Portal Closure (Oct. 3, 2018)
- Access FAQs for Information about Required Compliance Training
- Online Tool Provides Faster Preauthorization Determinations
- Manage Medical Record Requests with Ease
- Peer-to-peer Review Process Changing for Humana Medicare Advantage (MA) Products
And Much More…Latest Issue Available HERE
A Few Articles You Won’t Want to Miss:
- Front & Center
- Link Self-Service Updates and Enhancements
- Updates to Notification/Prior Authorization Requirements for Specialty Medications for UnitedHealthcare Commercial and Community Plan Members
- Process Change: Colony-Stimulating Factors
- UnitedHealthcare Commercial
- UnitedHealthcare Genetic and Molecular Testing Prior Authorization/Notification Updates
- UnitedHealthcare Medicare Advantage
- Reimbursement for 340B Drug Pricing Program
And Much More…JULY Monthly Issue Available HERE
Oncology Related Articles You Won’t Want to Miss:
Medical Policy Updates
Revised:
- Apheresis – Effective Aug. 1, 2018
Medical Benefit Drug Policy Updates
New:
- Self-Administered Medications – Effective Jul. 1, 2018
Updated:
- Clotting Factors and Coagulant Blood Products – Effective Jul. 1, 2018
- Luxturna™ (Voretigene Neparvovec-Rzyl) – Effective Jul. 1, 2018
- Off-Label/Unproven Specialty Drug Treatment – Effective Jul. 1, 2018
- Oncology Medication Clinical Coverage – Effective Jul. 1, 2018
JULY Monthly Issue Available HERE