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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.

  • 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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  • Using Welvie to Enhance Patient Satisfaction

    May 22, 2019

    When patients face a decision about whether to have surgery, knowing what to expect is important. We offer a free online program that may help your patients become better prepared and more satisfied.
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  • Technical Component (TC) Modifier

    May 22, 2019

    The Technical Component (TC) modifier helps clarify what aspect of a service is being billed. Here’s how to use it correctly.
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  • Introducing Blue Bulletin

    April 23, 2019

    We're pleased to introduce our new monthly email communication, Blue Bulletin. This is our primary vehicle for communicating important updates and useful tips.
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  • Preauthorization Letters Available Online

    April 23, 2019

    We are shifting to a more user-friendly and timely online process, allowing you to download medical preauthorization letters directly from our provider portal.
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  • Medical Protocol Updates

    April 23, 2019

    Some of our medical protocols have been updated and will be available online beginning May 1, 2019.
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  • Medicare Advantage Member Incentives

    April 23, 2019

    Receiving certain preventive services can earn your BlueCross BlueShield Medicare Advantage patients a $20 Prepaid Card.
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  • When to use Modifier 59

    April 23, 2019

    One of the trickiest modifiers in medical billing is Modifier 59. Here’s how to avoid claim denial or inappropriate claim processing.
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  • Clarification of Orthodontic Payment Policy

    April 22, 2019

    Effective July 15, 2019, we are correcting a system error that has paid codes D8030, D8050, D8060, D8070, D8080, and D8090 separately. These codes will no longer be paid when billed separately, to be consistent with stated payment policy in our Dental Manual.
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  • Drug Therapy Guidelines Available Online

    April 08, 2019

    The following drug therapy guidelines have been updated and are available online. Please refer to these updated guidelines when discussing treatment options with your BlueCross BlueShield of Western New York patients.
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  • Fee Schedule Update

    March 29, 2019

    Effective July 1, 2019, we are updating our standard fee schedule and rates. Our fee schedule is being updated to better align with the market and standards set by Centers for Medicare & Medicaid Services (CMS).
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  • BestPractice Performance Adjustment Factor

    March 28, 2019

    BestPractice PAFs are reviewed twice a year, and your updated PAF will be reflected in your BestPractice payments beginning July 1, 2019. Your updated PAF will be applied to both your BestPractice commercial and Medicare Advantage attributed members.
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  • Preauthorization Letters to be Available Online

    March 15, 2019

    You will be able to access letters about medical preauthorizations, appeals and Case and Disease Management online. Beginning in the second quarter of 2019, we will reduce the amount of mail we send you by shifting to a more user-friendly and timely online communication process.
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  • Clarification of Physical and Occupational Therapy Reimbursement

    February 27, 2019

    We would like to clarify current processing for physical and occupational therapy services. Appropriate Current Procedural Terminology (CPT®) codes for physical and occupational therapy services are as followed.
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  • 2019 Provider Incentive Programs

    February 07, 2019

    We are announcing our 2019 incentive programs for primary care providers. This year, we are offering primary care providers a broader range of opportunities to increase their reimbursement.
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  • Updated Drug Therapy Guidelines Available Online

    January 03, 2019

    The following drug therapy guidelines have been updated and are available online. Please refer to these updated guidelines when discussing treatment options with your BlueCross BlueShield of Western New York patients.
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  • Working with Us

    January 01, 2019

    We encourage you to visit our Blue Bulletin's Communications link often to view our most recent provider communications regarding treatment options, preauthorization requirements, claims and appeals information, and much more.
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Working with Us

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