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Blue Bulletin

BlueCross BlueShield of WNY strives to provide our network of provider practices and facilities with the most current health plan information in a quick and easily accessible manner.

  • Sleep Studies to Require Preauthorization

    June 28, 2019

    We want to ensure that BlueCross BlueShield of Western New York patients receive sleep studies in the location that provides the greatest value and that is tailored to pre-existing medical conditions they may have.
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  • Medication Billing Coverage Updates

    June 24, 2019

    We’ve recently updated and added to our drug therapy guidelines, including a revision to a previously announced National Drug Code (NDC) requirement. We will temporarily suspend the previously announced policy. Effective August 1, outpatient claims for J-codes must also include the valid NDC of the billed product. Please read the full article for more about these important changes.
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  • Managing Medical Record Requests

    June 24, 2019

    Multiple record requests throughout the year can feel overwhelming, and we appreciate your support throughout HEDIS and with other regulatory requests. Here we offer some options to make fulfilling medical record requests easier on your office.
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  • SBIRT Payment Update

    June 24, 2019

    We’ve added a new Medicare code to our reimbursement for Screening, Brief Intervention, and Referral to Treatment (SBIRT).
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  • 2018 Primary Care Incentive Payment

    June 24, 2019

    Thank you to all primary care providers who participated in our 2018 incentive programs. Payments are coming this month, and you can check your summary online.
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  • Medical Protocol Updates Available Online

    June 24, 2019

    We recently reviewed 51 medical protocols and will post them to our website on or before July 1, 2019.
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  • Office Accessibility for People with Mobility Impairment

    June 24, 2019

    In accordance with the Americans with Disabilities Act (ADA), we want to ensure that health care services rendered by our participating providers are accessible for and usable by individuals with disabilities.
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  • Improving Care Coordination

    May 22, 2019

    Care coordination can make a big difference – whether it’s well or poorly handled. Our own Jennifer Johengen-Vogel offers five proven steps your office can take to not only support holistic care for your patients but also improve your reimbursement in value-based programs.
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  • Checking Eligibility with HEALTHeNET

    May 22, 2019

    Verifying patient eligibility is a “top five” call to our Provider Service Department. But there’s a faster way to check eligibility online, through HEALTHeNET.
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  • Diabetes Management Programs Improve Patient Health

    May 22, 2019

    With the rising prevalence of diabetes and prediabetes in Western New York, we know your patients with these conditions require more time and attention. Our free diabetes management program can help support your care plan.
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