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Live Event November 10, 2021 - Schoolcraft College, LivoniaDetails >
September 2021Updates that may be of interest to oncology including:
• MolDX: Molecular Diagnostic Tests 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 2022 Proposed Rules, 2021 Final Rules and the WPS Fee Schedules Details >Check out these upcoming training events:• Teleconference: ABN: What’s New and What’s Not
• On Demand Training: Appeals - Understanding the Basics
• E & M Services for 2021
• 3 day/1 Day Payment Window
• New YouTube Training Available Details >
Recent Oncology Related Articles• Impact of the PHE on Telehealth: Comparative Billing Report in August
• CMS Resumes Targeted Probe & Educate Program
• Clinical Diagnostic Laboratories: Private Payor Rate-Based CLFS Resources
• Recent LearnResource & MedLearn Matters Articles Details >Region 1 - Performant Recovery, Inc.MSHO NOTE: Many MSHO members have reported recent RAC audits related to waste and single dose vials! - MSHO working with the RAC to bring our members education - Be sure to click the details button below and read our 8/30/21 update!
Also, newest approved issues listed on RAC website:
• Positron Emission Tomography for Initial Treatment Strategy in Oncologic Conditions
• Next Generation Sequencing Medical Necessity and Documentation Requirements Details >This edition includes an article on:• More Money for CMS Means More Medicare Audits Details >
Recent Oncology Related News• Internet Claim Tool taxonomy code edit error
• How to submit prior authorization requests for drugs that are managed by AIM when the drugs are prescribed for non-oncology diagnoses
• We’re updating our policy for non-chemotherapy drug administration coding
• Register today for the September PGIP quarterly meeting — in Lansing, Michigan
• Audit vendor HMS is launching an updated provider portal
• Four additional drugs to require prior authorization for Blue Cross URMBT non-Medicare members, for dates of service on or after Sept. 7
• RybrevantTM requires prior authorization for dates of service on or after Sept. 27 for most members
• Payment for certain drugs administered by health care provider changing in October
• Additional drugs require prior authorization for Blue Cross URMBT non-Medicare members, starting Nov. 1
• AsparlasTM to require prior authorization for Blue Cross URMBT non-Medicare members, starting Nov. 1 Details >Publications• The Record
• BCN Provider News
• Just Released - 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
• The system is applying a denied authorization to a claim in error
• Multiple RHC Issues Details >
Last Reviewed/Updated 8/31/21Review the reported payer reimbursement issues including:
• MPB diagnosis loading for biosimilars to match brand drugs, claims being reprocessed
• Confusion and clarification non-oncology Colony Stimulating Factor prior authorization 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
• UHC Reimbursement Policy Update
Details >• Prism Launches this September
• A Member Programs Catalog Now Available
• New preferred products for Medicare Part B drugs start Oct. 14 (Includes Erythropoietin stimulating agents) Details >Featuring this month: HAPTidbits regarding:
• Easier Access to the Provider Portal Coming Soon!
• Billing Guidelines for COVID-19 Were Updated August 20
• Important Contact Information for Providers Details >
Both in-person and online - September 24 - 25Details >
September 2021, Frequently Asked Questions• NPP Billing for Genetic Counseling
• Billing and Infusion as a Push
• Utilize the Smallest Available Vial
• Billing for "Chemo Teach"
MSHO MEMBERS - You can access and search previous FAQs! Scroll to the bottom of the Q & As to find out how!
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