Blue Review - February 2017
A newsletter for physician, professional, facility, ancillary and Medicaid providers |
February 2017
Medicaid
Monthly News for Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid (STAR) & CHIP Providers
Read this month’s Medicaid newsletter to learn about Texas Health Steps’ new mental health screening tool, referral guidelines for physical/mental developmental delays, documentation requirements for checkups and more.
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Claims & Eligibility
Additional Code-auditing Software Scheduled for May 2017 Implementation
On May 7, we’re implementing an additional code-auditing software system that will enhance auditing of professional and outpatient facility claims for correct coding.
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Electronic Options
Availity® Claim Research Tool Offers Enhanced Status Results
Learn how the Availity Claim Research Tool (CRT) now returns more detailed information than ever before. Also, access a CRT tip sheet and register for a Back to Basics: Availity 101 webinar.
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Notices & Announcements
Reminder: Urine Drug Testing Medical Policy Update
The BCBSTX medical policy “Urine Drug Testing Including Pain Management and Substance Abuse Monitoring" (MED207.154) was updated and posted on Sept. 15, 2016. However, as of Dec. 15, 2016, this policy now states that any drug or drug class being tested for must be referred by a clinician in a written order, denoting the need in the patient's medical record. For further details, access our Medical Policies page. After reading and agreeing to the disclaimer, you will then have access to active and pending policies.
BCBSTX and the Naveen Jindal School of Management Offering Course on Accountable Care Organizations
Experienced physicians who are interested in learning about Accountable Care Organizations (ACOs) and the evolving health care marketplace, specifically the shift to a value-based medicine system, should check out the new course Essential Elements of Value-Based Medicine Through ACOs being offered at the University of Texas at Dallas.
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Health & Wellness
Kicking the Habit: Helping to Overcome Opioid Addiction in America
More Americans are getting caught in a growing web of addiction to opioids – powerful narcotics that relieve pain – than ever before. Watch a video and read about one member’s journey to learn what we are doing to help members avoid becoming victims.
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Colorectal Cancer Screening Options and Statistics – Get the Conversation Started Today
The second of a four-part series regarding colorectal cancer (CRC) screenings
In an effort to help you commit to our 2017 colon cancer screening goal, we’re providing a list of screening options and some startling statistics about colon cancer. We hope these statistics will get the conversation started with your patients.
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an Independent Licensee of the Blue Cross and Blue Shield Association
1001 E. Lookout Drive, Richardson, TX 75082
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