2022 News Archive

12/29/2022 Updates Made to the Blue Cross Community Centennial^SM Provider Reference Manual
12/29/2022 Updates Made to the Blue Cross Medicare Advantage Provider Reference Manual
12/28/2022 Predetermination is now Recommended Clinical Review
12/22/2022 Inflation Reduction Act to Impact Insulin and Vaccine Costs for Medicare Members
12/15/2022 Our Blue Cross Community Centennial^SM Quality Improvement Program
12/15/2022 Blue Cross Community Centennial^SM Members Rate Their Experience
12/06/2022 Cervical and Breast Cancer Screenings
12/05/2022 Hospitals Must Provide Medicare Outpatient Observation Notice
12/05/2022 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
12/02/2022 Centennial Care Behavioral Health Screening Incentive Program
11/28/2022 Current Procedural Terminology (CPT^®) Codes Updated for Prior Authorization for Medicare programs, Jan. 1
11/28/2022 Prior Authorization Codes Updated, Effective January 1
11/22/2022 MAPD Risk Adjustment Medical Records Request
11/16/2022 Downcoding Explanations for NSA Claims by Nonparticipating Providers
11/16/2022 2022 Annual HEDIS^® Medical Record Review Begins February 2023
11/15/2022 RSVP for 2022 Annual Medicaid Provider Training Sessions
11/11/2022 Keeping an Eye on Improved Provider Collaboration
11/10/2022 New Laboratory Management Program Training Sessions
11/09/2022 Continuity of Care is Driven by Prompt Communication Upon Hospital Discharge
11/07/2022 Importance of Early and Timely Intervention for Pre- and Post-Partum Care to Help Improve Health Outcomes
11/03/2022 Statin Therapy for Patients with Cardiovascular Disease and Diabetes
11/01/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2023 – Part 1
11/01/2022 Help Close Gaps in Care for Group Medicare Advantage Members
10/31/2022 New Tool Improves Behavioral Health Prior Authorization — Attend a Training
10/25/2022 Prior Authorization Codes Updated, Effective January 1
10/10/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2022 – Part 2
10/04/2022 Diabetes Screening for People Using Antipsychotic Medications
10/04/2022 Current Procedural Terminology (CPT^®) Codes Updated for Prior Authorization for Medicare programs
10/04/2022 Prior Authorization Codes Updated, Effective January 1
09/28/2022 Postponed: Use Our Automated Phone System to Request Prior Authorization for FEP^®Members
09/28/2022 Earn Continuing Education Credit at Webinar on Low Back Pain
09/27/2022 New Laboratory Management Program to Begin Jan. 1, 2023
09/27/2022 Confirm Medical Record Receipt Status Online for Prior Authorization Requests
09/26/2022 What You Need to Know About the Flu Season
09/26/2022 Addressing Disparities in Breast Cancer for Black Women
09/14/2022 Earn Continuing Education Credit through Webinar on Suicide Prevention
09/13/2022 Coronavirus Public Health Emergency Ending
09/12/2022 Submitting Unlisted or Miscellaneous Codes: Billing Guidelines and Reminders
09/09/2022 We’re Reducing Prior Authorization Requirements for Certain Applied Behavioral Analysis (ABA) Codes for Some Commercial Members, in some instances
09/07/2022 New Mexico Medicaid Benefit Preauthorization Procedure Code List Update, Effective Oct. 1
09/07/2022 Short Term Complications of Diabetes Admission Questionnaire
09/01/2022 Health Equity and Social Determinants of Health: New Resources for Providers
09/01/2022 ClaimsXten™ Quarterly Update Effective Dec. 5, 2022
08/22/2022 Coverage Information for Monkeypox
08/16/2022 Use Our New Prior Authorization Digital Lookup Tool for Medicaid Member Information
08/15/2022 Rehoboth McKinley Christian Suspending Labor & Delivery Services
08/09/2022 Reminders When Using the Claims Inquiry Resolution (CIR) Tool
08/08/2022 Videos to Share on Behavioral Health Care
08/03/2022 New Tool to Verify Credentialing Information
08/02/2022 Coming Soon: IVR System to Offer Prior Authorization Requests for FEP Members
08/02/2022 Verify Your Directory Details Every 90 Days
08/02/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2022 – Part 1
08/02/2022 Help Close Diabetes Disparity Gaps
08/01/2022 Reviews on Inpatient DRG Claims for BlueCard^®(Out of Area) Medicare Advantage^SM Members
08/01/2022 Are You Using These Shared Decision-Making Aids?
08/01/2022 Help Close Gaps in Care for Group Medicare Advantage Members
08/01/2022 Avoiding Antibiotics for Acute Bronchitis and Other Viruses
07/29/2022 Webinars on Cross-Cultural Care Offer Continuing Education Credit
07/27/2022 Reminder: It’s Time - Verify Your Directory Details
07/19/2022 Reminder: Provider Access and Availability Survey
07/18/2022 New Online Option to Confirm Medical Record Receipt Status
07/12/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2022 – Part 2
07/11/2022 Provider Directory Locations - CMS Guidance
07/05/2022 Current Procedural Terminology^® (CPT) Codes Updated for Prior Authorization, Effective Oct. 1
07/05/2022 Current Procedural Terminology^®(CPT) Codes Updated for Prior Authorization for Medicare programs, Effective Oct. 1
06/15/2022 Reminder: Initiation of Substance Use Disorder Provider Enhanced Payment Program Blue Cross Community Centennial^SM
06/15/2022 Provider Access and Availability Survey
06/14/2022 Flex and Open Access for Medicare Patients and Providers
06/14/2022 CT Contrast Shortage
06/10/2022 Member Rights and Responsibilities
06/10/2022 Provider Rights and Responsibilities
06/10/2022 Catch Up on Routine Vaccines and Well-Child Visits
06/06/2022 In-home Test Kits for Colorectal Cancer Screening
06/03/2022 Provider Satisfaction Survey 2022
06/03/2022 Machine-Readable Files
05/09/2022 CPT Codes Updated for PA, Eff July 1
05/09/2022 CPT Codes Updated for PA for MA Programs, Eff July 1
05/09/2022 2022 NM Annual NDC Drug Fee Schedule Impact and Timeline
05/09/2022 Managing Diabetes
05/06/2022 Earn Continuing Education Credit at Webinar on Avoiding Inappropriate Antibiotic Use
05/05/2022 ClaimsXten™ Quarterly Update Reminder
05/05/2022 Availity^® Essentials Claim Status Tool Update
05/05/2022 Submit Multiple Clinical Claim Appeal Requests Online
05/05/2022 Education information Requirement for Directory
05/05/2022 Behavioral Health Collaboration Requests
05/05/2022 Reminder: Closing Gaps in Care for Group Medicare Advantage Members
05/05/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2022 – Part 1
05/05/2022 Preferred Drug Program
04/28/2022 Avalon Program Postponement
04/08/2022 New 'Message This Payer' Option Coming Soon via Availity^® Essentials
04/08/2022 NM Provider Pharmacy Changes Effective April 2022- Part 2
04/08/2022 Follow-Up Care for Substance Abuse Disorders
04/08/2022 Credentialing Requirements for Facility-Based Providers
04/08/2022 Gender Code Reminder- Coding for Breast Augmentation and Removal for Gender Affirming Surgery
04/08/2022 Current Procedural Terminology^® (CPT) Codes Updated for Prior Authorization for Medicare programs, Effective July 1
04/08/2022 BCBSNM Supporting Care During and After Pregnancy
04/08/2022 BCBSNM Avalon Second Launch Training Reminder
03/28/2022 Advisory on Telemedicine Services – Place of Service (POS) Codes
03/28/2022 Third-Party Liability Claims Processing for Blue Cross Community Centennial^(SM)
03/28/2022 Training, Access the New Lab Management Program Trial Tool April 1, 2022
03/18/2022 Changes Coming to FEP Out-of-State Claims Processing
03/18/2022 Surprise Billing Provisions of No Surprises Act - Updated
03/11/2022 Closing Gaps in Colon Care
03/11/2022 Supporting Mental Health
03/11/2022 Free Behavioral Health Webinars and Continuing Education Credit
03/07/2022 ClaimsXten^TM Quarterly Update Reminder
03/07/2022 Current Procedural Technology^® (CPT) Codes Updated for Prior Authorization
03/04/2022 CMS Payment Adjustments for Medicare Providers Extended Through March 31, 2022
03/03/2022 Verify and Update your Information Online with Availity^® Provider Data Management
03/03/2022 All Contracted Providers Will Now Display in Provider Finder^®
02/17/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Apr. 1, 2022 - Part 1
02/07/2022 Differential Diagnoses of Depression
02/07/2022 Closing Gaps in Care for Group Medicare Advantage Members
02/03/2022 New Laboratory Management Program to Begin On May 1, 2022
01/26/2022 It’s Time - Verify Your Directory Details
01/26/2022 Supporting Healthy Hearts
01/20/2022 Behavioral Health Cost Share Waiver for Some BCBSNM Members Begins Jan. 1, 2022
01/18/2022 Update - New Lab Policies and Laboratory Management Program Delayed
01/13/2022 2022 Annual HEDIS^® Medical Record Review Begins February 2022
01/13/2022 Delivering Quality Care: Cervical and Breast Cancer Screenings
01/13/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 2
01/13/2022 EXL Health Is Reviewing Complex Claims
01/10/2022 Blue Cross Community Centennial^SM Prior Authorization Update for MSK Therapies (Rehab) effective March 13, 2022, and Training Webinars
01/05/2022 Reminder: Claim Editing Enhancements Coming in 2022, Register for a Training Webinar