- 12/20/24 PEAQSM Program Adds New Specialties for Cost Efficiency Analysis
- 12/19/24 Records Needed to Support Quality Care for Medicare Advantage Members
- 12/19/24 A Door to Health and Wellness Is Open in Albuquerque
- 12/19/24 Ensure Your Office Is Providing Your Most Current Information
- 12/18/24 Medicaid Implements Required Taxonomy Code Updates
- 12/18/24 Medical Records Collection for Federal Employee Program® Begins in February
- 12/17/24 Prior Authorization Updates for Medicare Advantage Effective April 1, 2025
- 12/17/24 Prior Authorization Updates for Commercial Members Effective April 1, 2025
- 12/16/24 Agency-Based Community Benefits Provider Qualifications Newsletter - Personal Care Services
- 12/16/24 Self-Directed Community Benefits Provider Qualifications Newsletter - Personal Care Services
- 12/16/24 New Mexico Department of Health Recommends Syphilis Screening
- 12/13/24 Remind Billing Agencies to Correctly Submit Claim Review Requests
- 12/12/24 Follow-Up Care Is Recommended for Children Prescribed ADHD Medication
- 12/10/24 ClaimsXten™ Quarterly Update Effective March 17, 2025
- 12/09/24 Clinical Payment and Coding Policy Updates
- 12/09/24 Solutions and Results Monitoring for Gene Therapy Treatments to Launch in 2025
- 12/06/24 Update Your Records for New Blue Cross Group Medicare Advantage Open Access (PPO)SM Members
- 12/05/24 Remind Our Members about Cervical and Breast Cancer Screenings
- 12/04/24 Medicare-Like Rates to Apply to Claims for Some Self-Funded Tribal Plans
- 12/04/24 CMS Tracks High-Risk Medication Combinations with New Part D Quality Measures
- 12/03/24 Keep Your Contact Information Updated to Receive Recredentialing Reminders
- 11/26/24 Medicaid HEDIS® Medical Record Review Begins February 2025
- 11/26/24 Funds to Be Recouped on Some Medicare Advantage Hospital and Ancillary Claims
- 11/22/24 Preferred Drugs to be Recommended Through Enhanced Prior Authorization
- 11/18/24 Coding Reference for Quality Measures Is Available to Help Identify Gaps in Care
- 11/13/24 Cultural Awareness Webinars: No-Cost Continuing Education Credit
- 11/12/24 Nirsevimab Provides RSV Protection for Infants
- 11/07/24 Clinical Payment and Coding Policy Updates
- 11/06/24 Pharmacy Program Quarterly Update Changes Effective Jan. 1, 2025 – Part 1
- 11/01/24 Support for Our Members Affected by Floods
- 11/01/24 Well Child Visits Are Required for Children in State Custody Within 30 Days
- 11/01/24 Prior Authorization Changes for Medicare Advantage Members Effective Jan. 1, 2025
- 10/29/24 How to Submit Photos to Accompany Prior Authorization or Recommended Clinical Review Requests
- 10/24/24 Code Effectively to Earn Additional Incentive Payments on Medicare Advantage Claims
- 10/23/24 Talk to Our Members About the Flu Vaccine
- 10/17/24 Update: Select Self-Administered Drugs Moving to Pharmacy Benefit Effective Mar. 1, 2025
- 10/16/24 Encourage Annual Eye Exams for Our Members with Diabetes
- 10/16/24 Statin Therapy Is Recommended for Patients with Cardiovascular Disease and Diabetes
- 10/15/24 Medicare Prescription Payment Plan Launching Jan. 1, 2025
- 10/10/24 Reminder: Health Care Authority Creates a Payment Reform for Primary Care Providers
- 10/10/24 Care Coordination Can Help Our Members After Hospital Discharges
- 10/09/24 Submit Itemized Bills or Medical Records for Additional Facility Claims Effective Dec. 9, 2024
- 10/08/24 Members May Request Fewer Personal Care Service Hours
- 10/08/24 Risk Identification and Outreach Program Supports Member Safety
- 10/07/24 Updated: 2024 Billing/Documentation Guidelines for Urine Drug Tests
- 10/07/24 Clinical Payment and Coding Policy Updates
- 10/02/24 Acquisition of Cigna Healthcare Medicare Business in 2025
- 10/01/24 Personal Care Service Agencies Must Meet Caregiver Requirements
- 10/01/24 Check ID Cards for New Coupe Health Plan Members
- 10/01/24 Updates Coming to Behavioral Health Substance Abuse Criteria for Utilization Management
- 09/30/24 Prior Authorization Updates for Some Commercial and Turquoise Care Members, Effective Jan. 1
- 09/27/24 Pharmacy Program Quarterly Update Changes Effective Oct. 1, 2024 – Part 2
- 09/26/24 Utilization Management Review Expanding for Advanced Imaging for Some Commercial Members Jan. 1, 2025
- 09/18/24 Health Care Authority to Offer a New Food Program for Pregnant Medicaid Members
- 09/13/24 Register for a Coding Webinar on Coagulation Defects and Other Hematological Disorders
- 09/12/24 Health Care Authority Creates a Payment Reform for Primary Care Providers
- 09/09/24 ClaimsXten™ Quarterly Update Effective Dec. 9, 2024
- 09/06/24 Clinical Payment and Coding Policy Updates
- 09/06/24 In-home Test Kits Help Our Members Manage Their Kidney Health
- 09/05/24 Reminder: Submit Paper Commercial Claims to Correct PO Box to Avoid Delays
- 09/04/24 Use the Updated Claims Referral Form for American Indian/Alaska Native Limited Cost Share Plans
- 08/16/24 Revised Effective Date: Reimbursement Change for Consultation Services, Now Nov. 18, 2024
- 08/16/24 New Clinical Practice Guideline Available for EPSDT Services
- 08/15/24 Physician Performance Insights Reports Are Now Available
- 08/15/24 Shared Decision-Making Aids Can Help Guide Care Choices
- 08/14/24 Clinical Payment and Coding Policy Updates
- 08/14/24 Register for Webinars on Coding for Stroke, Cancers and Heart Failure
- 08/13/24 Check Member ID Cards for New Coupe Health Plan Members
- 08/12/24 30-Day Supply Limit: Select Commercial Members Have New Pharmacy Benefit for GLP-1 and/or Anti-Obesity Drug Therapy
- 08/08/24 Encourage Medicare Members to Respond to Health Outcomes Survey
- 08/07/24 Supporting EPSDT Compliance in School-Based Health Centers
- 08/01/24 Pharmacy Program Quarterly Update Changes Effective Oct 1, 2024 – Part 1
- 08/01/24 Facility‑Based Providers Have a Credentialing Requirement
- 07/30/24 Required Annual Cultural Competency Training Available Virtually
- 07/30/24 Abiraterone Drug Coverage Changes for Many Commercial Members Set for Oct. 1
- 07/24/24 UPDATE: Issue Resolved with Attachments in Availity Essentials
- 07/17/24 Provider Finder® to Rank Providers to Help PPO Members Find Care
- 07/17/24 Medicare Providers May Treat Blue Cross Group Medicare Advantage Open Access (PPO)SM Members
- 07/16/24 Check Prior Authorization Requirements for Procedure Codes through Availity® Essentials or Our IVR System
- 07/12/24 Has Your Information Changed? Update Us and NPI Registry
- 07/10/24 Medicaid Claims Processing
- 07/10/24 Addressing Issue with Attachments in Availity Essentials
- 07/10/24 Upcoming Trainings with HCA for Medicaid Provider Enrollment
- 07/08/24 Earn Continuing Education Credit: Webinar on Avoiding Inappropriate Antibiotic Use
- 07/01/24 Prior Authorization Updates for Medicare Advantage Effective Oct. 1
- 07/01/24 Prior Authorization Updates for Commercial Members Effective Oct. 1
- 07/01/24 Proper Billing for Supplies for Transcutaneous Electrical Nerve Stimulation Units
- 07/01/24 Physician Performance Insights Reports Coming Soon from PEAQSM
- 06/27/24 Breast Cancer Screening for Members Ages 40 to 74
- 06/27/24 Pharmacy Program Quarterly Update Changes Effective July 1, 2024 – Part 2
- 06/27/24 Support for Our BCBSNM Members Affected by Wildfires
- 06/25/24 New Coupe Health Plan: Update Your Member Records
- 06/25/24 Prenatal and Postpartum Care Coordination Changes for Medicaid Members
- 06/20/24 Member Rights and Responsibilities
- 06/20/24 Provider Rights and Responsibilities
- 06/20/24 Coming Soon – New Learning & Training Center in Availity® Essentials
- 06/20/24 New Mexico Medicaid Extends Support to Members Affected by Ruidoso Evacuations
- 06/18/24 Medicaid Billing Tips for Midwife Providers
- 06/11/24 GLP-1 New to Therapy Optional Benefit Program Available for Select Commercial Members
- 06/11/24 In-Home Test Kits for Colorectal Cancer Screening
- 06/05/24 Encourage Routine Vaccines and Well-Care Visits for Children and Teens
- 06/04/24 Cultural Awareness Webinars: No-Cost Continuing Education Credit
- 06/04/24 Notify Us If You Opt Out of Medicare
- 05/31/24 Keep Your Enrollment Status with New Mexico Medicaid Updated
- 05/31/24 See Our Revised Coding for Consultation Services in the Clinical Payment and Coding Policy for Evaluation and Management CPCP024
- 05/31/24 Update: Our Revised Clinical Payment and Coding Policy for Anesthesia Services now Effective Jan. 1, 2025
- 05/30/24 Prior Authorization Requests May Be Needed Due to Pharmacy Claims Processing Error
- 05/30/24 Updated PEAQSM Methodology Is Now Available
- 05/30/24 Medicaid Providers Needing Language Assistance for Members
- 05/29/24 Join Our Quality Improvement Committee: Provider Opportunity at BCBSNM
- 05/29/24 2024 NM Annual NDC Drug Fee Schedule Impact and Timeline
- 05/29/24 New Mexico Medicaid Provider Rates
- 05/28/24 Earn Continuing Education Credit: Webinar on Trauma-Informed Care
- 05/28/24 Requests for Behavioral Health Documentation for Medicaid Members
- 05/24/24 New: Access MCG Care Guidelines Clinical Criteria via Availity®
- 05/17/24 ClaimsXten™ Quarterly Update Effective Aug. 19, 2024
- 05/09/24 New Mexico House Bill 27: Breast Exam Health Coverage
- 05/07/24 RSVP for the 2024 Turquoise Care Provider Training Sessions
- 05/06/24 Closing Gaps in Care for Group Medicare Advantage (PPO) members
- 05/06/24 Behavioral Health Consultations During Hospitalization Can Improve Outcomes
- 05/03/24 Reminder: Use New Mailing Addresses for Paper Claims to Avoid Mail Delays
- 05/03/24 Helping Our Members Manage Diabetes
- 05/03/24 Pharmacy Program Quarterly Update Changes Effective July 1, 2024 – Part 1
- 05/01/24 Electronic Claim Review and Ensuring the Correct Use of our Claim Review Form
- 04/22/24 Medicaid Transition to Turquoise Care on July 1, 2024
- 04/18/24 Important Updates to Manage My Organization in Availity® Essentials
- 04/10/24 Updated: BCBSNM New Process Regarding Legal Responsible Individuals as Caregivers
- 04/04/24 Coding Webinars: Arrhythmias and Rheumatoid Arthritis
- 04/04/24 Supporting Maternal Quality Care
- 04/04/24 Filing Claims for Behavioral Health Services – Use the Correct Place of Service Code
- 04/03/24 2023 Medical Record Review
- 04/01/24 Avoid Directory Suppression: Update your Directory Information such as Accepting New Patients
- 04/01/24 Reporting Requirements for Providers Supplying Diabetic Supplies, Equipment and Prescriptions
- 04/01/24 Late and Added Charges Must Be Submitted as a Corrected Claim
- 04/01/24 Prior Authorization Updates for Medicare Advantage
- 04/01/24 Prior Authorization Updates
- 03/29/24 Pharmacy Program Quarterly Update Changes Effective April 1, 2024 – Part 2
- 03/27/24 RSVP for 2024 Annual Medicaid Provider Training Sessions
- 03/20/24 EPSDT Insights & Provider Participation
- 03/15/24 ClaimsXten™ Quarterly Update Effective June 17, 2024
- 03/14/24 Earn Continuing Education Credit: Webinar on Substance Use Disorder
- 03/07/24 Medicare Advantage Coverage of Skilled Nursing Care and Skilled Therapy Services
- 03/05/24 Webinar on Coding for Medicare Advantage Annual Wellness Visits
- 03/05/24 Caring for Substance Use Disorders
- 03/01/24 Change Healthcare Cybersecurity Incident Impact
- 03/01/24 See Our Revised Clinical Payment and Coding Policy for Anesthesia Services
- 02/20/24 Earn Continuing Education Credit: Webinar on Social Determinants of Mental Health Care
- 02/15/24 30-Day Facility Readmission Reviews for Medicare Advantage Members
- 02/08/24 Federal Employee Program® Updates to Prior Approval Requirements and Benefits
- 02/06/24 Pharmacy Program Quarterly Update Changes Effective April 1, 2024 – Part 1
- 02/06/24 Closing Gaps in Colon Care
- 02/06/24 Avoiding the Inappropriate Use of Antipsychotic Medication in Anxiety Disorders
- 02/02/24 Follow-up Care for Mental Health
- 02/02/24 Blue Cross Community Centennial Quality Improvement Program
- 02/02/24 Reminder: Update Your Records with New Mailing Addresses for Paper Claims
- 02/01/24 BCBSNM New Process Regarding Legal Responsible Individuals as Caregivers
- 01/25/24 Medicare Advantage HEDIS Records Collection through June 2024
- 01/23/24 Blue Cross Community Centennial Members Rate Their Experience
- 01/22/24 Earn Continuing Education Credit at Webinar on Pediatric Behavioral Health
- 01/18/24 Changes to Claim Inquiry Resolution – High-Dollar, Pre-Pay Reviews Only
- 01/18/24 2023 Annual HEDIS® Medical Record Review Begins February 2024
- 01/17/24 Coding Webinars: Major Depressive Disorder and Annual Wellness Visits
- 01/16/24 Provider Onboarding Process Update
- 01/16/24 ClaimsXten™ Quarterly Update Effective April 15, 2024
- 01/12/24 Pharmacy Program Quarterly Update Changes Effective Jan. 1, 2024 – Part 2
- 01/09/24 Join Our Quality Improvement Committee: Provider Opportunity at BCBSNM
- 01/08/24 Supporting Healthy Hearts
- 01/04/24 Managing Antidepressant Medication
- 01/03/24 Blue Cross and Blue Shield Federal Employee Program® (FEP®) HEDIS Records: Collecting February through April 2024
- 01/02/24 Centers for Medicare and Medicaid Services guidelines for Availability and Access Standards to Care for Medicare Advantage Members
- 01/02/24 Update Your Records: New Medicare Open Access PPO Members and ID Cards
- 01/02/24 Remind Our Members about Cervical and Breast Cancer Screenings
- 01/02/24 Reminder: Update Your Records with New Mailing Addresses for Paper Claims
- 01/02/24 Monitoring Children Using ADHD Medication
- 01/02/24 Hospitals Must Provide Medicare Outpatient Observation Notice
- 01/02/24 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
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