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MSHO Featured Corporate Sponsor Assistance Programs

• Alnylam Assist®
• Daiichi Sankyo Access Central 
• Gilead's Trodelvy Access Support 

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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

• Accelerated Payments Eligibility
• Change Healthcare Security Incident
• Updated Medicare Hot Links

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WPS Educational Offerings

New training opportunities available

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CMS-Medicare

Recent Oncology Related Articles

• Fee Schedule and GPCI Floor Extension
• Former Medicaid Beneficiaries Enrollment Period Extended
• Advanced Care Planning Direction from CMS
• MLN Matters
• And More

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Recent RAC Monitor Article

This edition includes articles on

• Even VPN Encryption Can Be Hacked
• FY 2025 Proposed New Rules
• When Medicare Guidance is Contradictory
• Final Rule Aims to Streamline Administrative Enrollment
• Navigating Hospital Price Transparency Challenges
• How Hospitals Can Avoid a Price Transparency Audit

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BCBSM/BCN

Recent Oncology Related News

• CPT code *19294

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BCBSM/BCN

Publications

• The Record
• BCN Provider News

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Current Payer Issue Tracking Page

Last Reviewed/Updated 4-17-24

• Procrit or Epoetin Class Drugs Maintenance
• EPO injections for MDS diagnosis
• Multiple J Codes: Same Drug Class, Different Manufacturer
• And more

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Resolved Payer Issues

Last Reviewed/Updated 4-17-24

• BCBSM Reimbursement on MVASI

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Aetna

• April Updates
• March Newsletter

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Health Alliance Plan

• Update! Medical Record Review Projects (Vendor Updates)
• Update Provider Information in NPPES
• Prior Auth Requirements & Policy Updates

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Medicaid

• Explanation Codes
• Information on Copays and Amounts
• Billing & Reimbursement Updates
• MMP Bulletins
• Biller "B" Aware Notices

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Priority Health Update

• Appeals on incorrectly coded claims
• 2024 HEDIS ECDS Provider Guide
• National Prescription Drug Take Back Day
• New provider-based billing reimb policy effective June 1
• And More

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United Healthcare

• Provider Portal Authentication & Resources
• Reimbursement Policy Updates
• Special Medical Injectable Drug Program Updates
• Pharmacy & Clinical Updates
• And More

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Drug Updates

• Takeda Announces EXKIVITY (mobocertinib) Is No Longer Commercially Available in US Market

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ASK MSHO

April 2024 Frequently Asked Questions

• Coding IV infusion for hydration therapy
• Navigation codes G0023, G0024, G0140, and G0146

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