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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.

  • COVID-19 Hospitalizations on the Rise

    November 24, 2020

    With COVID-19 cases once again on the rise in our community and escalating rates of hospitalizations, it’s important to ensure that emergency resources are available for those who truly need them. In this article, Hope Fisher, MD, Medical Director for BlueCross BlueShield offers guidance on talking to your patients about when it is (or isn’t) appropriate to visit the emergency department or an urgent care facility. Here, you can also find additional COVID-19 resources for your patients.
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  • Greater Support for Caregivers Needed

    November 24, 2020

    A recent national study has shown a critical need for greater caregiver support. The study found that caregivers are experiencing significant stress and pressure, resulting in higher rates of anxiety, depression, hypertension, obesity, and other conditions. The COVID-19 pandemic has exacerbated these difficulties for caregivers. Here, we outline resources and services to help your caregiver patients.
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  • New Provider Online Coverage Plan Lookup Tool

    November 24, 2020

    We know accessing your information quickly and easily is important. New this month, our online coverage plan lookup tool will let you view which BlueCross BlueShield networks and coverage plans you participate with.
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  • Reminder: Medicare Advantage Preventive OB/GYN Reimbursement Policy

    November 24, 2020

    As a reminder, certain CPT codes for OB/GYN and associated subspecialty claims are no longer being reimbursed for your BlueCross BlueShield Medicare Advantage patients.
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  • Reminder: Encourage Your Patients to Get Flu Vaccinations

    November 24, 2020

    With the peak of flu season approaching and COVID-19 again on the rise, it’s important to continue to encourage your patients to get the flu vaccine. Please continue to remind your patients that it’s not too late to protect themselves, their families and the community.
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  • 2020 Updated Drug Therapy and 2021 Medicare Part B Step Therapy Guidelines Available Online

    November 24, 2020

    57 drug therapy guidelines were recently added or updated with a committee of local physicians, other prescribers, and pharmacists. Changes to existing Drug Therapy Guidelines will be posted on our website by December 1, 2020 and will be effective January 1, 2021. Based of guidance from the Centers for Medicare and Medicaid Services (CMS), step therapy restrictions will be implemented on some Part B medical injectables.
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  • Fraud Awareness and Deficit Reduction Act (DRA)

    November 24, 2020

    Health care organizations subject to Section 6032 of the Federal Deficit Reduction Act of 2005 (DRA) are required to educate their providers and contractors about the False Claims Act as well as the organization’s policies and programs for detecting and preventing fraud, waste and abuse.
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  • Timely Exchange of Health Information

    November 24, 2020

    We’re sharing our 2020 findings about timeliness and quality of information exchange between primary care providers (PCPs) and specialists (medical record review), and PCPs and Behavioral Health (survey).
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  • Resources for Diabetes Awareness Month

    October 22, 2020

    November marks National Diabetes Awareness Month, and organizations throughout Western New York are offering resources to help your patients prevent or manage their condition. Here, we outline those resources for patients with Prediabetes, Type II Diabetes, and more.
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  • Using Our Provider Self-service Tools

    October 22, 2020

    Our provider website and portal contain up-to-date information and useful tools to answer questions surrounding patient claims, eligibility, referrals, and preauthorizations. We want to ensure that you can quickly and efficiently access the information you need. In this article, we offer guidance on how to use online tools through HEALTHeNET and our provider website.
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