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Some Medicare Drug Claims Rejected in ErrorDetails >
SAVE THE DATE - Wednesday, April 21, 2021Details >Presented on February 3, 2021Did you miss this? The recording and handouts are available! Details >
February 2021Updates that may be of interest to oncology including these updates/revisions:
• 2021 CPT/HCPCS Code Updates • Complex Drug Administration Coding • Immune Globulins Details >Part A, Part B and Part A/B NewsIncludes articles that may be of interest to oncology released in the past 2 weeks • Also, Medicare Hot Links to 2021 Final Rules and the WPS Fee Schedules Details >Check out these upcoming training events:• New On Demand Training for E & M Services • New YouTube Training Available Details >
Recent Oncology Related Articles• HCPCS Code G2211 is a Bundled Service and Not Separately Paid • Care Compare: 2019 Preview Period Open through March 25 • Open Payments Data • Intensity-Modulated Radiation Therapy: Comparative Billing Report in January • Payment for Outpatient Clinic Visit Services at Excepted Off-Campus Provider-Based Departments • Importance of Proper Documentation: Provider Minute Video • Recent LearnResource & MedLearn Matters Articles Details >Region 1 - Performant Recovery, Inc.No New Oncology Related Issues Since March, 2020: • Latest under review at that time included: - Bone Marrow Transplants, ESAs for Cancer Patients, and Therapeutic Injections Details >This edition includes articles on:• A Study of Contractor Consistency in Reviewing Extrapolated Overpayments • Think in Ink (Documentation) • Transparency Rules and the No Surprises Act Details >
Recent Oncology Related News• Changes in coverage decisions for some 2021 CPT codes • Additional fee schedules added to web-DENIS • February 26, 2021 ICT Webinar: You've submitted a few claims; now what? • Medical benefit specialty drug prior authorization list changing in April for most members • Medicare-covered telehealth services reminder • Some drugs not payable when administered by a health care professional to Blue Cross and BCN commercial members, starting April 1, 2021 • Changes coming to preferred products for drugs covered under the medical benefit for most members, starting April 1, 2021 • We're expanding High Technology Radiology Prior Authorization program with AIM to Michigan FEP members Details >Publications• The Record • BCN Provider News • Blues Brief for Oncology Providers Details >Monthly Status ReportMany updates/corrections. Listed below is a sampling of what you will find: • 835 Recoupment isn't reflected on voucher • 835 CARC 210 sanction amount is incorrect • System is applying denied authorization to claim in error • Authorizations coming through are causing claim denials, multiple RHC Issues Details >
Last Reviewed/Updated 2/2/21Review the reported payer reimbursement issues including clarifications and issues with WPS Medicare, BCBSM, Medicare Plus Blue, and UHC Community Plan Details >Recent Oncology Related NewsMedicaid Updates Include: • MSA Bulletin Updates • Biller "B" Aware Notices Details >• Aetna OfficeLink Updates
• Cigna
• HAP
• Humana YourPractice
• UHC Network Bulletin
• UHC Medical Policy Update
Details >• Changes to our preferred biosimilars for pegfilgrastim effective April 1 • New 2021 changes to E/M codes • We’re transitioning our retrospective genetic lab authorizations to eviCore for in network providers and labs Details >Featuring this month: CignaTidbits regarding: • Medical necessity review related to site of care for some drugs • Accredo, Cigna specialty pharmacy is making the Prior authorizations easier • Cigna updated their Precertification list effective 1/1/2021-Read more! Details >
February 2021, Frequently Asked Questions• Bundled Specialist Code G2211 • OCM and OCF, When Do They End/Start? • Medicare Timely Filing for Medicaid Takeback • Is MFN Gone For Good? • Transitional Care Management Details >
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