2022
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Clinical Quality Validation Form to Retire This Year, September 2022
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Changes to Streamline Prior Authorizations for Unclassified Drug HCPCS, July 2022
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Improving E&B Transactions with New Member ID Card Display, July 2022
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Commercial Risk Adjustment Data Validation Calls for Medical Records, July 2022
- Referral Length Increased for myBlue and BlueMedicare HMO Plans, June 2022
- Provider Contact Center Hours of Operation Update, June 2022
- Blue Cross and Blue Shield’s National High-Performance Network Reminders, May 2022
- APRNs Serving as PCPs, May 2022
- Some ASCs Can Now Perform Cardiac Cath Lab Services, April 2022
- Spring Risk Adjustment Medical Record Audit, March 2022
- CMS Audit to Identify Improper Medicare Advantage Payments, January 2022
- Availity message for authorizations and referrals, January 2022
2022
- Updates to Availity Gateway Improves Processing Experience, August 2022
- CPT II Codes to use for A1c, ACP, BP, COA, DRE and MR, August 2022
- Coding & Documentation Spotlight on Social Determinants of Health, June 2022
- 2022 POS Billing Code Changes for Telehealth to Impact Fee Schedules, March 2022
- Procedure Code Change for Billing Behavioral Health Evaluation and Management Services, January 2022
- No current bulletins
2022
- CPT II Codes to Close Patient Care Gaps, June 2022
- Encouraging Breast Cancer Screening for FEP Members, June 2022
- Follow Up After Emergency Department Visit For Mental Illness , June 2022
- CAHPS Survey: Boost Your FEP Patients’ Satisfaction, June 2022
- Encouraging Colon Cancer Screening for FEP Members, May 2022
- FEP CAHPS Survey: You can make a difference in your patient's satisfaction, February 2022
- No current bulletins
- No current bulletins
2022
- Upcoming Member Health Outcomes Survey: You can Make a Difference, August 2022
- Stars Medicare Adv Quality Provider Bonus Results and Payment, June 2022
- HEDIS and Stars Measures Reference Guide for 2022
- CAHPS and HOS: Your Patient's Experience Matters, May 2022
- Medicare Stars Best Practices for 2022
- 2022 Medicare Adv Provider Quality Bonus Program Terms & Conditions, February 2022
2021
- 2022 Medicare Stars Ratings Released, October 2021
- Upcoming CMS Medicare Health Outcomes Survey, August 2021
- CPT II Codes to Show Patients' Care is Complete (for A1c, BP, Care of Older Adults, DRE, Microalbuminuria & MRP), August 2021
- MRP Documentation and CPT II Code FAQs, August 2021
- Select Medicare Advantage Members Receive In-Home Diabetes Screening Kits, July 2021
- Type 2 Diabetes Prevention Program Can Help At-Risk Medicare Advantage Members, May 2021
- Your Med Adv Patients' Health Care Experience Matters! Important Changes to Know, March 2021
- 2021 Medicare Advantage Provider Quality Bonus Program Information and More, February 2021
2022
- Healthy Food Benefit for Medicare/Medicaid Dual-Eligible Members with a Qualifying Condition, March 2022
- New digital tool helps your patients build resilience, February 2022
2021
2022
- New-to-Market Program for Provider-Administered Medications, June 2022
- Commercial and Other Pharmacy Updates, June 2022
- Retacrit Supply Disruption Expected, May 2022
- How to Prevent Denials for Provider-Administered Buy and Bill Drug Claims, April 2022
- Amazon Pharmacy Now Available as Home Delivery Service, March 2022
- Commercial and Other Pharmacy Program Updates, March 2022
- No current bulletins
2022
- Important Update: Monoclonal Antibody Treatment, September 2022
- It Is That Time of Year: Remind Patients to Get Their Flu Shots, September 2022
- Monkeypox update , August 2022
- COVID-19 update, July 2022
- Important Update: Monoclonal Antibody Treatment, July 2022
- COVID-19 Update, April 22, 2022
- COVID-19 Update, January 28, 2022
- Certain Monoclonal Antibody Treatments Halted, January 2022
- Important Update Regarding Monoclonal Antibody Treatment for High-Risk COVID-19 Patients, January 2022
2022
- QRPM Coding Newsletter -- Diabetes, September 2022
- Upcoming Member Health Outcomes Survey: You can Make a Difference, August 2022
- QRPM Coding Newsletter – Chronic Kidney Disease, July 2022
- QRPM Coding Newsletter - Telehealth Documentation and Coding, June 2022
- QRPM Coding Newsletter - Peripheral Vascular Disease, May 2022
- QRPM Coding Newsletter - Peripheral Vascular Disease, May 2022
- CAHPS and HOS: Your Patient's Experience Matters, May 2022
- QRPM Coding Newsletter - Congestive Heart Failure, April 2022
- QRPM Coding Newsletter - Morbid Obesity, March 2022
- Comprehensive HEDIS and Documentation Coding Guide 2022 (PDF)
- HOS Survey Tips for Success, April 2022
- QRPM Coding Newsletter - Social Determinants of Health, February 2022
- We May Be Requesting Your Florida Blue Member Records, January 2022
- QRPM Coding Newsletter - Annual Wellness Visit
2022
- New Telehealth Services Field in Self-Service Tool, September 2022
- Clinical Quality Validation Form to Retire This Year, September 2022
- Keep Your Profile Information Current to Stay Listed in Our Provider Directories, May 2022
- Provider Link Updates: Coding Opportunities and Care Gap Exports, June 2022
- Provider Link, New Feature: You've Got Mail!
- New Member/AWV Enhancement, May 2022
- ProviderVista: Enhancements to Exports Underway, April 2022
- New Feature Added in Provider Link, March 2022
- Verify or Update Your Profile Information to Stay in Our Online Provider Directories, March 2022
2022
- Changes Coming to Medicare Advantage Radiology Utilization Management, September 2022
- Changes Are Coming for Our Radiology Utilization Management Program, May 2022
- Changes Are Coming for Our Musculoskeletal Care Management Program, May 2022
- Olive Technology Will Improve Authorization Process for Hip and Knee Surgeries, March 2022
- No current bulletins