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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.

  • Changes in Reimbursement for Massage Therapy Services

    November 13, 2019

    Effective December 1, 2019, BlueCross BlueShield of Western New York is changing the process for how massage therapy services should be submitted for processing. For dates of service December 1, 2019 and forward, massage therapy services, CPT code 97124, will be reimbursed based on a per unit basis.
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  • CLARIFICATION: Medication Billing of J-codes

    October 31, 2019

    All professional, ancillary or institutional claims, both outpatient and inpatient, that include J-code(s) must also include the valid NDC of the billed product. This was effective October 1, 2019, but our previous notice only identified outpatient claims as requiring a valid NDC.
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  • Orchestrating Transitions of Care

    October 24, 2019

    Well-orchestrated transitions from one health care setting to another can literally save lives. Transitioning patients from hospital stays to home or another facility usually involves multiple handoffs. Much has been written about how best to do this, but it’s worth summarizing a few key points.
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  • Making it Easier to Verify Provider Information

    October 24, 2019

    We’ve partnered with BetterDoctor to help provide BlueCross BlueShield patients with an up-to-date, accurate directory of our network providers. During the first quarter of 2020, BetterDoctor will begin an outreach campaign.
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  • Pediatric Diagnosis Codes Made Easier

    October 24, 2019

    ICD-10 codes let us know when you have patients with conditions that require more of your time. We’ve developed a tip sheet with some of the most common pediatric diagnosis codes to help you quickly determine which code to put on a claim.
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  • Medical Protocol Updates Available Online

    October 24, 2019

    We recently reviewed 54 of our medical protocols. These will be posted online on or before October 31, 2019.
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  • Updated Clinical Practice Guidelines Available Online

    October 24, 2019

    The following Clinical Practice Guidelines have been reviewed and approved by our Quality Management Committee (QMC) and can be viewed online at bcbswny.com/provider > Policies & Guidelines > Practice Guidelines.
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  • Timely Information Exchange Between Primary Care and Behavioral Health Improves Care Coordination

    October 24, 2019

    The 2019 online information exchange survey results from primary care and behavioral health providers identify opportunities for improvement in frequency, timeliness, and process.
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  • Right Start Prenatal Support

    October 24, 2019

    We provide the Right Start prenatal program free of charge to your BlueCross BlueShield patients in order to provide extra support, care and education to expecting mothers.
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  • End the Epidemic

    October 24, 2019

    End the Epidemic is Governor Andrew Cuomo’s plan to end the AIDS epidemic in New York State by 2020. The plan includes reducing new HIV infections annually from 3,000 to 750 and reducing the rate at which HIV-diagnosed persons progress to AIDS by 50%.
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