May 7, 2015 News & Updates New Videos on Patient Support and Palliative Care – What Every Physician Should Know Take a few minutes to review two brief videos about palliative care. Blue Cross and Blue Shield of Oklahoma (BCBSOK) encourages the early referral of patients to palliative care, which unlike hospice care, can be provided along with curative therapy. In addition to the videos, an FAQ document is also available to share with your patients. ICD-10: Be a Part of the Solution The transition to ICD-10 is happening and there is a lot to do to prepare. Review four ways to take action, right now. Women’s Contraceptive Drug List Reminder The list of women's contraceptives covered by BCBSOK for eligible benefit plans was updated this year to include dosage strengths for some drugs. Eligible members with prescription drug coverage through Prime Therapeutics may find the Women’s Contraceptive Drug List in the Member Services/Prescription Drug Plan section of our website. Claim Status Availability to Change in Automated Phone System Effective July 13, 2015, claim status requests will no longer be available within the BCBSOK Interactive Voice Response phone system. You will need to direct claim status requests electronically through your Web vendor of choice. CMS Replaces Modifier 59 with New 'X' Modifiers Review the new modifiers that replace modifier 59, which was previously used to report that a service was a distinct procedural service. Beginning on or after April 20, 2015, BCBSOK will enhance the ClaimsXten code auditing tool by adding the first quarter 2015 codesand bundling logic into our claim processing system. ClaimsXtenTM System Edit Updates, Effective June 2015 Review the changes to the bundling logic in our claim processing system. Community In the Community: Nominations now Open for the 2015 ‘Champions of Health’ Awards Nominations for the 2015 Champions of Health awards are now open and will be accepted through May 28. Who could you nominate in your community? Read more about this award that recognizes those who are improving public health in Oklahoma. Web Changes Medical Policy Reminder Approved new or revised BCBSOK medical policies and their effective dates are posted on the BCBSOK website the first day of each month. These policies may impact your reimbursement and your patients’ benefits. You may view all active and pending policies, or view draft Medical Policies and provide comments. These can be accessed on the Standards and Requirements page of our provider website. While some information on new or revised medical policies may occasionally be published for your convenience, please visit bcbsok.com/provider for access to the most complete and up-to-date information. On-demand Training An eRM tutorial is available to show you how to navigate the features of the eRM tool. Log in at your convenience to complete the tutorial and use it as a reference when needed. |