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Blue Review Provider Newsletter



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Our Blue Review provider newsletter is released monthly so that you and your staff have the latest news on claims and billing, federal mandates, medical policies, condition management programs, practice guidelines, formulary/drug list updates, Medicaid, BlueCard, and educational webinars.


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January 2022

  • Hospitals must Provide Medicare Outpatient Observation Notice
  • New Flexible Medicare Advantage PPO Plan
  • Claim Editing Enhancements Coming April 1, 2022
  • Reminder: Claim Editing Enhancements Coming in 2022, Register for a Training Webinar
  • Current Procedural Terminology (CPT®) Codes Updated, including Cardiology, for Prior Authorization for Commercial Members
  • Chiropractic & Mixed Therapy Benefits Contained in IVR Phone System as of Jan. 3, 2022
  • It's Time - Verify Your Directory Details

December 2021

  • Consolidated Appropriations Act & Transparency in Coverage Final Rule
  • Catch Up on Vaccines for All Ages
  • Speaking Out About the 'Silent Killer'
  • Avoiding Antibiotics for Acute Bronchitis
  • Fighting Fraud, Waste and Abuse
  • New Digital Lookup Tool for Fully Insured Members
  • Single Sign-On Access to AIM Specialty Health® via Availity®
  • View Withdrawn Claim Descriptions via the Availity® Claim Status Tool

November 2021

  • Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Commercial Members
  • New Laboratory Policies Coming Jan. 1
  • Change to Some Primary and Secondary Claims Coordination
  • Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 – Part 2
  • 2022 Telemedicine Services

October 2021

  • Remember: Use AIM for Prior Authorization - Coming for Pharmacy Medical Oncology
  • Breast Cancer Screening
  • Managing Diabetes
  • Access Standards for Behavioral Health Providers
  • What Do BCBSOK Members Want from their Health Care Professionals? Part 3
  • The APRN (CNP and CNS) Credentialing Requirements

September 2021

  • ClaimsXten™ Quarterly Update Reminder™
  • Obesity and Morbid Obesity
  • Availity® Claim Status Response Enhancement for Medicare Advantage Claims
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 – Part 1
  • What Do BCBSOK Members Want from their Health Care Professionals? Part 2

August 2021

  • Antidepressant Medication Management
  • Prior Authorization Update - Pharmacy Medical Oncology
  • Adhere to HPV and Shingles Vaccine Guidelines
  • Colorectal Cancer Screening for Members Age 45 to 75
  • What Do BCBSOK Members Want from their Health Care Professionals? Part 1

July 2021

  • BCBSOK Pauses Medicaid Implementation
  • Closing Gaps in Care for Group Medicare Advantage (MA) Members
  • Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Commercial Members
  • Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare
  • Supporting Mental Health
  • Earn CME/CEU Credit at Free Webinar on Opioid Use
  • Have Questions about Your BCBSOK Contract? – We can help

June 2021

  • Treating Substance Abuse
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2021 - Part 1
  • In-Home Test Kits for Colorectal Cancer Screening
  • ClaimsXtenTM Quarterly Update Reminder

May 2021

  • Professional Provider Fee Schedules Are Now Available via Availity
  • Caring for the Colon
  • Provider Satisfaction Survey 2021
  • Major Depressive Disorder
  • New Applied Behavior Analysis (ABA) Service Request Forms
  • Cervical Cancer Screening May Save a Life
  • Now Accepting Nominations for Health Heroes

April 2021 

  • Some Codes Removed from AIM® Prior Authorization
  • Reminder: eviCore to Manage Commercial Prior Authorization Appeals Process through April 2021 for 2020 Adverse Determinations
  • View Professional Provider Fee Schedule via Availity®
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2021 — Part 2
  • Single Access Point for EFT and ERA Enrollments

March 2021 

  • Telemedicine Expansion for 2021
  • CPT Category II Codes Can Help Close Care Gaps
  • Overpayment Recovery for Multiple Surgical Procedures
  • Single Access Point for 835 EFT and ERA Enrollments
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2021 – Part 1
  • Blue Cross and Blue Shield of Oklahoma awards non-profits across the state

February 2021 

  • Telemedicine
  • Utilization Management
  • Atrial Fibrillation
  • Diabetes Mellitus
  • Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021 — Part 2

January 2021 

  • COVID-19 Vaccines and Coverage
  • COVID 19 Initiatives Updates
  • Clinical Practice and Preventive Care Guidelines Updated for 2020-2021
  • 2021 HHS-Risk Adjustment Data Validation Program (RADV)
  • Medicare adds benefit for members with inherited ovarian or breast cancer
  • Patients in the Qualified Medicare Beneficiary (QMB) Program Should Not Be Billed
  • Hospitals Must Provide Medicare Outpatient Observation Notice (MOON)
  • Behavioral Health Tip Sheets
  • BCBSOK will update CPT® codes for some outpatient services