2024 News Archive
- 11/26/24 Funds to Be Recouped on Some Medicare Advantage Hospital and Ancillary Claims
- 11/22/24 Preferred Drugs to be Recommended Through Enhanced Prior Authorization
- 11/19/24 Technology May Help Increase Engagement with Your Patients
- 11/18/24 Coding Reference for Quality Measures Is Available to Help Identify Gaps in Care
- 11/13/24 Cultural Awareness Webinars: No-Cost Continuing Education Credit
- 11/12/24 Follow Centers for Medicare & Medicaid Services Guidelines for Appointment Wait Time Standards
- 11/07/24 Oklahoma Senate Bill 1739 Impacts Licensing and Provider Types for Birthing Centers
- 11/06/24 Pharmacy Program Quarterly Update Changes Effective Jan. 1, 2025 – Part 1
- 11/01/24 Prior Authorization Code Updates for Medicare Advantage Effective Jan. 1, 2025
- 10/29/24 How to Submit Photos to Accompany Prior Authorization or Recommended Clinical Review Requests
- 10/28/24 Out-of-State Care Beyond Contiguous Counties No Longer Covered Benefit
- 10/24/24 Code Effectively to Earn Additional Incentive Payments on Medicare Advantage Claims
- 10/23/24 Talk to Our Members About the Flu Vaccine
- 10/18/24 Members Value Open Communication from Their Providers
- 10/17/24 Update: Select Self-Administered Drugs Moving to Pharmacy Benefit Effective Mar. 1, 2025
- 10/16/24 Encourage Annual Eye Exams for Our Members with Diabetes
- 10/16/24 Statin Therapy Is Recommended for Patients with Cardiovascular Disease and Diabetes
- 10/15/24 Medicare Prescription Payment Plan Launching Jan. 1, 2025
- 10/10/24 Care Coordination Can Help Our Members After Hospital Discharges
- 10/08/24 Risk Identification and Outreach Program Supports Member Safety
- 10/02/24 Reminder: 2024 Provider Access and Appointment Availability Survey
- 10/02/24 Acquisition of Cigna Healthcare Medicare Business in 2025
- 10/01/24 Check ID Cards for New Coupe Health Plan Members
- 10/01/24 Updates Coming to Behavioral Health Substance Abuse Criteria for Utilization Management
- 09/30/24 Prior Authorization Codes Updated for Commercial Members Effective Jan. 1
- 09/27/24 Pharmacy Program Quarterly Update Changes Effective Oct. 1, 2024 – Part 2
- 09/26/24 Utilization Management Review Expanding for Advanced Imaging for Some Commercial Members Jan. 1, 2025
- 09/20/24 Learn What Members Say They Want from Their Health Care Professionals
- 09/13/24 Register for a Coding Webinar on Coagulation Defects and Other Hematological Disorders
- 09/10/24 Breast Cancer Screening Begins at Age 40
- 09/09/24 ClaimsXten™ Quarterly Update Effective Dec. 9, 2024
- 09/09/24 Reminder: Submit Paper Commercial Claims to Correct PO Box to Avoid Delays
- 09/09/24 In-home Test Kits Help Our Members Manage Their Kidney Health
- 09/05/24 Closing Care Gaps in Child and Adolescent Weight Assessment and Nutrition Counseling
- 09/04/24 Use the Updated Claims Referral Form for American Indian/Alaska Native Limited Cost Share Plans
- 08/22/24 Watch for our Provider Advisory Survey
- 08/16/24 Revised Effective Date: Reimbursement Change for Consultation Services, Now Nov. 18, 2024
- 08/15/24 Physician Performance Insights Reports Are Now Available
- 08/15/24 Shared Decision-Making Aids Can Help Guide Care Choices
- 08/14/24 Register for Webinars on Coding for Stroke, Cancers and Heart Failure
- 08/13/24 Check Member ID Cards for New Coupe Health Plan Members
- 08/12/24 30-Day Supply Limit: Select Commercial Members Have New Pharmacy Benefit for GLP-1 and/or Anti-Obesity Drug Therapy
- 08/08/24 Encourage Medicare Members to Respond to Health Outcomes Survey
- 08/01/24 Pharmacy Program Quarterly Update Changes Effective Oct. 1, 2024 – Part 1
- 08/01/24 Reminder: Statewide Fee Schedule Update
- 07/23/24 Provider Finder® to Rank Providers to Help PPO Members Find Care
- 07/22/24 Medicare Providers May Treat Blue Cross Group Medicare Advantage Open Access (PPO)SM Members
- 07/16/24 Has Your Information Changed? Update Us and the NPI Registry
- 07/16/24 Check Prior Authorization Requirements for Procedure Codes through Availity® Essentials or Our IVR System
- 07/08/24 Coming Soon: 2024 Provider Availability and Access Survey
- 07/03/24 Earn Continuing Education Credit: Webinar on Avoiding Inappropriate Antibiotic Use
- 06/26/24 Pharmacy Program Quarterly Update – Part 2 Changes Effective July 1, 2024
- 06/26/24 Physician Performance Insights Reports Coming Soon from PEAQSM
- 06/26/24 Prior Authorization code updates for Medicare Advantage Effective Oct. 1
- 06/26/24 Prior Authorization Codes Updated for Commercial Members Effective Oct. 1
- 06/26/24 Proper Billing for Supplies for Transcutaneous Electrical Nerve Stimulation Units
- 06/24/24 New Coupe Health Plan: Update Your Member Records
- 06/20/24 Coming Soon – New Learning & Training Center in Availity® Essentials
- 06/07/24 Provider Rights and Responsibilities
- 06/07/24 Member Rights and Responsibilities
- 06/07/24 Encourage Routine Vaccines and Well-Care Visits for Children and Teens
- 06/07/24 In-Home Test Kits for Colorectal Cancer Screening
- 06/06/24 GLP-1 New to Therapy Optional Benefit Program Available for Select Commercial Members
- 06/06/24 Reminder: Provider Satisfaction Survey 2024
- 05/31/24 Cultural Awareness Webinars: No-Cost Continuing Education Credit
- 05/31/24 Prior Authorization Requests May Be Needed Due to Pharmacy Claims Processing Error
- 05/31/24 Update: Our Revised Clinical Payment and Coding Policy for Anesthesia Services now Effective Aug. 14, 2024
- 05/28/24 Updated PEAQSM Methodology Is Now Available
- 05/22/24 Earn Continuing Education Credit: Webinar on Trauma-Informed Care
- 05/17/24 New: Access MCG Care Guidelines Clinical Criteria via Availity®
- 05/08/24 Location Requests Now Only Accepted Through the Demographic Change Form
- 05/07/24 Behavioral Health Consultations During Hospitalization Can Improve Outcomes
- 05/07/24 ClaimsXten™ Quarterly Update Effective Aug. 19, 2024
- 05/06/24 Closing Gaps in Care for Group Medicare Advantage (PPO) members
- 05/03/24 Reminder: Use New Mailing Address for Paper Commercial Claims to Avoid Mail Delays
- 05/03/24 Pharmacy Program Quarterly Update Changes Effective July 1, 2024 – Part 1
- 05/03/24 Helping Our Members Manage Diabetes
- 04/29/24 Electronic Claim Review and Ensuring the Correct Use of our Claim Review Form
- 04/17/24 Important Updates to Manage My Organization in Availity® Essentials
- 04/16/24 Coding Webinars
- 04/08/24 Know the Importance of Care Coordination
- 04/02/24 Supporting Maternal Quality Care
- 03/28/24 Pharmacy Program Quarterly Update Changes Effective April 1, 2024 – Part 2
- 03/26/24 Filing Claims for Behavioral Health Services – Use the Correct Place of Service Code
- 03/26/24 Prior Authorization Codes Updated for Commercial Members
- 03/25/24 Late and added charges must be submitted as a Corrected Claim
- 03/12/24 Prior Authorization Code Updates for Medicare Advantage
- 03/11/24 Earn Continuing Education Credit: Webinar on Substance Use Disorder
- 03/06/24 Webinar on Coding for Medicare Advantage Annual Wellness Visits
- 03/06/24 ClaimsXten™ Quarterly Update Effective June 17, 2024
- 03/04/24 Caring for Substance Use Disorders
- 03/01/24 Change Healthcare Cybersecurity Incident Impact and Options
- 02/26/24 Use the NDC Units Calculator Available in Availity® Essentials
- 02/23/24 See Our Revised Clinical Payment and Coding Policy for Anesthesia Services
- 02/19/24 Earn Continuing Education Credit: Webinar on Social Determinants of Mental Health Care
- 02/15/24 The Importance of Updating Provider Demographics
- 02/14/24 30-Day Facility Readmission Reviews for Medicare Advantage Members
- 02/07/24 Closing Gaps in Colon Care
- 02/06/24 Federal Employee Program (FEP) Updates to Prior Approval Requirements and Benefits
- 02/06/24 Pharmacy Program Quarterly Update Changes Effective April 1, 2024 – Part 1
- 02/05/24 Avoiding the Inappropriate Use of Antipsychotic Medication in Anxiety Disorders
- 02/02/24 Follow-up Care for Mental Health
- 02/01/24 Reminder: Update Your Records with New Mailing Address for Paper Commercial Claims and Inquiries
- 01/24/24 Medicare Advantage HEDIS® Records Collection through June 2024
- 01/19/24 Earn Continuing Education Credit at Webinar on Pediatric Behavioral Health
- 01/17/24 Changes to Claim Inquiry Resolution– High-Dollar, Pre-Pay Reviews Only
- 01/16/24 Blue Cross and Blue Shield Federal Employee Program® HEDIS® Records: Collecting February through April 2024
- 01/11/24 Pharmacy Program Quarterly Update: Changes Effective Jan. 1, 2024 – Part 2
- 01/08/24 ClaimsXten™ Quarterly Update Effective April 15, 2024
- 01/08/24 Supporting Healthy Hearts
- 01/05/24 Managing Antidepressant Medication
- 01/04/24 Annual Medical Record Data Collection for HEDIS Quality Reporting begins Feb. 1
