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AZ Access 360
AZ Access 360

To learn more about AstraZeneca Access 360, click here

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MSHO Featured Corporate Sponsor Assistance Programs

• Eagle CAN
• KaryForward: Patient Support by Karyopharm
• myBeiGene

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WPS Oncology Related LCD Updates

Stay current on new, retired, and revised policies/articles

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WPS Recent Oncology Related News

• HOPD Prior Authorization Requests
• New CMS 855I Released
• Website Redesign
• Medicare Hot Links

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CMS-Medicare

Recent Oncology Related Articles

• MPFSDB October Updates
• Draft Guidance on New Program
• Revised Medicare Enrollment Application Required November 1
• Evaluation and Management Services Guide - Revised
• And More

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Quality

• 2024 Policy Highlights

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Recent RAC Monitor Article

This edition includes articles on

• Managed Care Organizations and Medicare Advantage
• When Is a Shared Visit Not a Shared Visit?
• Adapting to Evolving ICD-10-CM Guidelines in the Era of AI
• When Big Discounts Become the Norm

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BCBSM/BCN

Recent Oncology Related News

• Help Patients Avoid a Gap in Coverage
• New Mailing Address for Provider Appeals
• Adding Codes to Multiple Procedure Reduction Payment Policy
• Cost of External Peer Reviews to Increase
• And More

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BCBSM/BCN

Publications

• The Record
• BCN Provider News

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Current Payer Issue Tracking Page

Last Reviewed/Updated 9/19/23

• BCBSM Carelon Dismissal Notes
• Medicare Plus Blue Denying J9190
• Optum Denials Preparation & Administration of Drugs

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Resolved Payer Issues

Last Reviewed/Updated 9/19/23

• BSBCM PGIP Program Withholds

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Aetna

• Amended Utilization Review Law
• September's OfficeLink Updates

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Health Alliance Plan

• New Payer ID for Medicaid Claims
• Level 1 Appeals Update
• HAP Empowered and CareSource Finalize Joint Venture

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Medicaid

Recent Oncology Related News

Medicaid Updates Include
• MDHHS Notice of Proposed Policy
• MSA Bulletin Updates
• Biller "B" Aware Notices

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Meridian

• MCS Claim System Retirement & Reminders on Timely Claim Filing
• Michigan Medicaid Redetermination
• New Z-Code Provider Incentive Program

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Priority Health Update

• Tezspire Coverage to Shift from Medical to Pharmacy Benefit
• Virtual Office Advisory
• Edits Checker and Prism's Clinical Edits Details
• Submitting Supplemental Data in 2024
• And More

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United Healthcare

• 340B Medicare Advantage Drug Pricing Program
• Medicare Part B Step Therapy Programs
• Digital Pre-Service Appeal Submissions Required
• And More

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ASK MSHO

September 2023 Frequently Asked Questions

• Selection of the Primary CPT® Code
• Concurrent and Sequential Infusions
• IV Injection with IV Infusion
• Code 96367

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