Updating hipaa policies and procedures

19, 2017 RC Claim Assist tool is now available January 2017 Use new PT, OT codes when billing BCN for physical and occupational therapy Hospitals must give BCN Advantage members receiving outpatient observation services the Medicare Outpatient Observation Notice Obstetrician-gynecologists can refer BCN and BCN Advantage members to specialists December 2016 BCN will not require authorization for monitored anesthesia care during GI endoscopies starting Jan.

1, 2016 evi Core to review additional radiation therapy codes for BCN effective Nov.

1, 2018 Tell us what you think about BCN Care Management services – You could win a prize!

e-referral site wins communications awards Do not refer new patients to Med EQUIP in Ann Arbor Clarification on Blue Cross inpatient authorization requirements for newborns We've heard your concerns: We're changing our Medicare Plus Blue PPO evi Core requirements for physical therapy Changes in handling certain behavioral health requests for Medicare Plus Blue PPO members September 2017 2017 Inter Qual criteria to be implemented starting October 2 New name for Blue Cross Physician Choice PPO Be aware of fall-winter holiday closures when faxing acute inpatient admission requests to BCN REVISED: Use updated forms for BCN Advantage members being discharged from a hospital stay ALERT: evi Core call centers may be affected by Hurricane Irma, use online portal Blue Cross inpatient authorization requirements clarified August 2017 FAQ on using e-referral system now available for Blue Cross authorization requests BCN Behavioral Health Physician Review Line daytime number is changing effective August 21 Reminder: 2017 Inter Qual criteria delayed until October 2017 July 2017 Clarifying authorization requirements for Blue Cross members Reminder: BCN uses Inter Qual criteria as guidelines in reviewing acute inpatient medical admissions June 2017 For BCN and Blue Cross Medicare Plus Blue PPO, use to reach the Pharmacy Clinical Help Desk Submit only the pertinent medical records for BCN initial inpatient admission requests Register now for July e-referral training webinars for Blue Cross authorization requests Reminder: Effective July 1, additional medical benefit drugs for BCN HMO members are subject to a site-of-care requirement May 2017 2017 Inter Qual criteria delayed until October 2017 Blue Care Network changes authorization requirements for sleep management studies Blue Care Network updates authorization guideline for external ECG monitoring Effective July 1, additional medical benefit drugs for BCN HMO members are subject to a site-of-care requirement April 2017 Providers can schedule phone appointments for evi Core clinical consultations on BCN radiology reviews Be aware of holiday closures when faxing acute inpatient admission requests to BCN Additional information on RC Claim Assist now available to Blue Cross and BCN providers March 2017 BCN reviews inpatient readmissions within 14 days effective Jan.

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