05/02/2024 Helping Our Members Manage Diabetes
04/30/2024 PeriPAN Perinatal Mental Health Toolkit for Obstetric Clinicians
04/29/2024 Electronic Claim Review and Ensuring the Correct Use of our Claim Review Form
04/24/2024 Annual Review: CPCP036 Paravertebral Facet Injection Procedure Coding & Billing Policy Updated
04/23/2024 Annual Review: CPCP005 Home Health Care/Private Duty Nursing Policy Updated
04/23/2024 CPCP029 Medical Record Documentation Updated Effective 07/24/2024
04/19/2024 Annual Review: CPCP019 Home Infusion Updated
04/18/2024 Important Updates to Manage My Organization in Availity® Essentials
04/17/2024 Prior Authorization Code Updates for Medicare Advantage Members, Effective July 1, 2024
04/10/2024 BCBSTX 2023 Marketplace Member Satisfaction with Providers Results
04/08/2024 Supporting Maternal Quality Care
04/04/2024 Filing Claims for Behavioral Health Services – Use the Correct Place of Service Code
03/29/2024 Prior Authorization Code Changes for Commercial Members Effective July 1, 2024
03/29/2024 Pharmacy Program Quarterly Update: Changes Effective Apr. 1, 2024 – Part 2
03/28/2024 ImmTrac2: Shot Records in One Secure Place
03/28/2024 CPCP025 Corrected Claim Submission Updated Including Changes for Late/Added Charges
03/26/2024 CPCP006 Preventive Services Policy Update Effective 04/01/2024
03/13/2024 Webinar on Coding for Medicare Advantage Annual Wellness Visits
03/13/2024 Caring for Substance Use Disorders
03/12/2024 Continuity and Coordination of Eye Care
03/12/2024 Recommended Clinical Review Services and Code List Changes for Certain Members
03/11/2024 Earn Continuing Education Credit: Webinar on Substance Use Disorder
03/07/2024 ClaimsXten™ Quarterly Update Effective June 17, 2024
03/05/2024 Annual Review: CPCP002 Inpatient/Outpatient Unbundling Policy- Facility Updated Effective 03/06/2024
03/04/2024 Change Healthcare Cybersecurity Incident Impact and Options
03/04/2024 Annual Review: CPCP017 Wasted/Discarded Drugs and Biologicals Policy Updated Effective 03/05/2024
02/29/2024 Notifications for Prior Authorization Exemptions for July 1 to Dec. 31, 2023 Review Period
02/29/2024 CPCP033 Telemedicine and Telehealth/Virtual Health Care Services Policy Updated Effective 05/01/2024
02/28/2024 See New Effective Date for Claim Editing Changes for Facility Emergency Department Services
02/26/2024 Earn Continuing Education Credit: Webinar on Social Determinants of Mental Health Care
02/23/2024 Annual Review: CPCP022 Pneumatic Compression Devices – Outpatient Use Updated
02/21/2024 Annual Review: CPCP038 Outpatient Services Prior to an Inpatient Admission Updated
02/20/2024 Pharmacy Program Quarterly Update: Changes Effective Apr. 1, 2024 – Part 1
02/20/2024 30-Day Facility Readmission Reviews for Medicare Advantage Members
02/09/2024 Closing Gaps in Colon Care
02/09/2024 Avoiding Inappropriate Use of Antipsychotic Medication in Anxiety Disorders
02/08/2024 Follow-up Care for Mental Health
02/01/2024 Fighting Fraud, Waste and Abuse
01/30/2024 Changes to Claim Inquiry Resolution – High-Dollar, Pre-Pay Reviews Only
01/29/2024 Medicare Advantage HEDIS Records Collection through June 2024
01/29/2024 Reminder: BCBSTX Prior Authorization Exemption Communication Method Preference
01/26/2024 HealthSelect of Texas® In-Area Participants PCP Referral Requirement for In-Network Benefits
01/26/2024 Introducing Smart RxAssist via HealthSmartRx®
01/25/2024 Annual Review: CPCP016 Chiropractic Care Services Updated
01/24/2024 Annual Review: CPCP015 Multiple Surgical Procedures-Professional Provider Services Updated
01/22/2024 Continuing Education Credit Webinar on Pediatric Behavioral Health
01/22/2024 NDC Billing Tool on Our Provider Website is Being Retired
01/19/2023 Annual Review: CPCP014 Global Surgical Package – Professional Providers Updated
01/19/2023 Annual Review: CPCP040 Physical Medicine and Rehabilitation Services Updated
01/18/2024 CPCP023 Modifier Reference Policy Update– Effective 04/19/2023
01/18/2024 Annual Review: CPCP013 Increased Procedural Services (Modifier 22) Updated
01/18/2024 Annual Review: CPCP009 Co-Surgeon/Team Surgeon Modifiers Updated
01/17/2024 Pharmacy Program Quarterly Update, Part 2, Changes Effective January 1, 2024
01/17/2024 Coding Webinars: Major Depressive Disorder and Annual Wellness Visits
01/16/2024 Annual HEDIS/QRS Reports
01/12/2024 Supporting Healthy Hearts
01/11/2024 Prior Authorization Code Updates for Medicare Advantage Members Effective April 1, 2024
01/09/2024 ClaimsXten™ Quarterly Update Effective April 15, 2024
01/08/2024 Update to Prior Authorization Code Changes for Commercial Members Effective April 1, 2024
01/08/2024 Managing Antidepressant Medication
01/03/2024 Federal Employee Program (FEP®) HEDIS® Medical Records Collection February - April 2024