2023 News Archive

12/27/2023 Prior Authorization Updates for Medicare
12/27/2023 Prior Authorization Updates
12/22/2023 Utilization Management: How to Avoid Delays and Denied Claims
12/19/2023 Appropriate Use of Opioids Program to be Retired January 2024
12/18/2023 Reminder: See Updates to Claim Editing Changes for Emergency Department Services
12/11/2023 Three New ClaimsXten^TM Rules to be Implemented March 2024
12/07/2023 BCBSNM’s Approach to Managing GLP-1 Agonist Medications
12/05/2023 Prior Authorization Updates for Medicare
12/05/2023 Prior Authorization Updates
11/30/2023 Oral Oncology Pharmacy Network Transitioned to IntegratedRx™
11/29/2023 Rate Increase for After Hours/Weekend Well Child Visits
11/29/2023 Advisory on Telemedicine Services – Using Place of Service Codes on Commercial Claims
11/16/2023 Blue Cross and Blue Shield of New Mexico Will Open a Blue Door Neighborhood Center in the South Valley
11/16/2023 The CMS Innovation Center is currently accepting applications for the Making Care Primary Model
11/14/2023 Blue Cross Medicare Advantage Dual Care Plus^SM 2022 Program Summary
11/14/2023 Blue Cross Medicare Advantage Dual Care Plus Preferred (PPO SNP) 2022 Program Summary
11/14/2023 Reimbursement Rate Update for Some Commercial ABA Codes
11/01/2023 Pharmacy Program Quarterly Update Changes Effective Jan. 1, 2024 – Part 1
10/31/2023 Training Resources for Behavioral Health Care
10/26/2023 Encourage Annual Eye Exams for Members with Diabetes
10/26/2023 New Email Address for Electronic Commerce Services
10/25/2023 Webinar on Coding for Annual Health Assessments
10/25/2023 Chronic Kidney Disease Management Strategies for Primary Care Providers
10/25/2023 See Updates to Claim Editing Changes for Emergency Department Services
10/24/2023 BlueApprovR^SM Now Accepts Recommended Clinical Reviews for Behavioral Health — Attend a Training
10/23/2023 Medicare Advantage Members to Transition to BCBSNM Kidney Care Program
10/18/2023 What You Need to Know About the Flu Season
10/18/2023 Provider Finder^® to Highlight ‘Top Performing Physicians’
10/17/2023 Temporary Economic Recovery Payment Increase for Home and Community Based Services – LOD #79-1
10/16/2023 BCBSNM Will Implement a New Process for Member-Driven PCS Hour Decreases
10/16/2023 New CPT Codes for COVID-19 Vaccines and Vaccine Administration
10/10/2023 Join Us for a Webinar on Coding for Vascular Disease
10/06/2023 RSVP for 2023 Annual Medicaid Provider Training Sessions
10/06/2023 Coordinating Care after Hospital Discharges to Help Reduce the Chances of Readmissions
10/03/2023 Medical Oncology, Radiation Oncology Care Category Removal from eviCore and other Prior Authorization Updates for Medicare Jan. 1
10/03/2023 Musculoskeletal Category Expansion, Code Removals and other Prior Authorization Updates, Effective Jan. 1, 2024
09/29/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2023 – Part 2
09/29/2023 Select Medication List to be Discontinued
09/27/2023 Expiration of the Public Health Emergency – Prior Authorization for ABA Services
09/25/2023 Supporting Quality Care During Breast Cancer Awareness Month
09/20/2023 Survey Assesses Medicare Advantage Members’ Health Outcomes
09/19/2023 New Mailing Addresses for Paper Claims
09/14/2023 Behavioral Health Training Series - Comprehensive Community Support Services
09/12/2023 Physician Efficiency, Appropriateness, and Quality^SM (PEAQ^SM) - Physician Performance Insight (PPI) Reports are Now Available
09/12/2023 BlueApprovR^SM Now Accepts Recommended Clinical Reviews — Attend a Training
09/06/2023 Reminder for Billing Point-Of-Use Convenience Kits
09/01/2023 Inpatient DRG Claims for Patients Transferred Early Will Be Paid According to CMS’ Transfer Policy Effective Dec. 4
08/28/2023 Current Procedural Terminology (CPT^®) Codes Updated for Prior Authorization for Medicare Oct. 1
08/28/2023 ClaimsXten™ Quarterly Update Effective Dec. 4, 2023
08/25/2023 Blue Cross and Blue Shield of New Mexico Receives Notification of Intent to Award Turquoise Care Contract
08/24/2023 Updates to Clinical Practice and Preventive Care Guidelines
08/18/2023 Transition from required Prior Authorization to Recommended Clinical Review Effective Sept. 18, 2023
08/18/2023 See New Enhancements for Behavioral Health Pre-service Reviews Effective Nov. 6
08/14/2023 New Mexico Medicaid Provider Engagement Forum
08/07/2023 Submitting Claims for Infertility Services
08/02/2023 Shared Decision-Making Aids Can Help Guide Care Choices
08/02/2023 Reporting On-Demand via Availity^® Essentials is Now Named Provider Claim Summary
08/01/2023 Claim Editing Changes for Emergency Department Services Coming Nov. 1, 2023
07/31/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2023 – Part 1
07/20/2023 Direction from Centers for Medicare & Medicaid Services (CMS) regarding enrollment requirements for prescribing pharmacists or pharmacy providers under Medicaid
07/17/2023 Introducing Claim Reconsideration Requests via Availity^® Essentials
07/12/2023 PEAQ Physician Performance Insight Reports are Now Available
07/10/2023 See Our Revised Preventive Services Clinical Payment and Coding Policy Effective July 1, 2023
07/10/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2023 – Part 2
07/06/2023 Webinar on Coding for Morbid and Severe Obesity
07/05/2023 In-Home Test Kits for Colorectal Cancer Screening
06/26/2023 Current Procedural Terminology (CPT^®) Codes Updated for Prior Authorization for Medicare Oct. 1
06/26/2023 Prior Authorization Codes Updated, Effective Oct. 1, 2023
06/12/2023 Blue Community HMO Network (CNN) – Individual On and Off Exchange Plans
06/09/2023 Medicare Providers May Treat Medicare Advantage Flex and Group Medicare Advantage Open Access PPO Members
06/05/2023 Provider Rights and Responsibilities
06/05/2023 Member Rights and Responsibilities
06/05/2023 New Availity Eligibility & Benefits Experience
06/02/2023 Catch Up on Routine Vaccines and Well-Child Visits
06/01/2023 Provider Access and Availability Survey
05/30/2023 ClaimsXten^TM Announces Software Version Upgrade
05/26/2023 Current Procedural Terminology (CPT^®) Codes Updated for Prior Authorization for Medicare and Medicaid programs, July 1
05/26/2023 Prior Authorization Codes Updated, Effective July 1
05/25/2023 Blue Cross Medicare Advantage Dual Care Plus (HMO SNP) 2021 Program Summary
05/23/2023 2023 NM Annual NDC Drug Fee Schedule Impact and Timeline
05/22/2023 Letter of Direction (LOD) #85 - Community Benefit Provider Audits
05/19/2023 Earn Continuing Education Credit at Webinar on Avoiding Inappropriate Antibiotic Use
05/16/2023 PEAQ Provider Performance Insights Coming Soon
05/16/2023 See our New Clinical Payment and Coding Policy for Outpatient Facility Services that Overlap During an Inpatient Stay
05/10/2023 Coverage for Telemedicine Services when the Public Health Emergency Ends May 11
05/09/2023 Medical Records Reminder for Out-of-Area Medicare Advantage Members
05/05/2023 Medicare Advantage Annual Wellness Visit: Webinar and Resources
05/04/2023 ClaimsXten™ Quarterly Update Effective August 21, 2023
05/03/2023 BlueApprovR^SM Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization — Attend a Training
05/02/2023 Helping Our Members Manage Diabetes
04/27/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2023 – Part 1
04/19/2023 2022 Medical Record Review
04/18/2023 Members can now access network of pharmacies at accredited cystic fibrosis treatment centers
04/17/2023 Behavioral Health Consultations During Hospitalization Can Improve Outcomes
04/13/2023 Webinar on Coding for Chronic Kidney Disease
04/11/2023 Annual Regulatory Survey of BCBSNM Provider Directories
04/10/2023 See our New Three-day Payment Policy for Outpatient Services Prior to an Inpatient Admission
04/04/2023 Track Care Visits During and After Pregnancy
03/31/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2023 – Part 2
03/28/2023 Current Procedural Terminology (CPT^®) Codes Updated for Prior Authorization for Medicare and Medicaid programs, July 1
03/28/2023 Prior Authorization Codes Updated, Effective July 1, also watch for Medical Oncology Portal Enhancements
03/24/2023 BlueApprovR^SM Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization — Attend a Training
03/20/2023 BCBSNM Engaged Hospital Service Corporation for Site Visits
03/09/2023 Screening and Follow-Up Care for Maternal Mental Health
03/08/2023 AIM Specialty Health Changes Its Name to Carelon Medical Benefits Management
03/07/2023 Caring for Substance Use Disorders
03/07/2023 Monitoring Children Using ADHD Medications
03/06/2023 Earn Continuing Education Credit through Webinar on Maternal Mental Health
03/03/2023 See Changes to our Existing Inpatient Readmission Policy for Some Commercial Members
03/03/2023 Earn Continuing Education Credit through Webinar on Opioids
02/22/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective January 1, 2023 – Part 2
02/20/2023 New for 2023: Specialty Pharmacies Added In-Network
02/15/2023 New BlueApprovR^SM Expedites Some Prior Authorizations — Attend a Training to Learn More
02/13/2023 Provider Onboarding Form Requirement
02/10/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2023 – Part 1
02/09/2023 Verify Your Directory Details Every 90 Days
02/08/2023 New Mexico Human Services Department Issues Supplement #22-12 “Suspension of Prior Authorization Requirements for Skilled Nursing, Long-Term Care, and Home Health Facilities/Agencies”
02/08/2023 COVID-19 Public Health Emergency Ending
02/08/2023 Survey to Assess Medicare Advantage Members’ Experiences
02/06/2023 Help Close Gaps in Care for Group Medicare Advantage Members
02/06/2023 Closing Gaps in Colon Care
02/03/2023 Quality Care: Screening for Depression
02/03/2023 New Support Program for Members with Kidney Disease
02/02/2023 Cultural Awareness Webinars: Earn Continuing Education Credit
02/01/2023 Earn Continuing Education Credit through Webinar on Bipolar Disorder
02/01/2023 Supporting Heart Health Equity
01/13/2023 Blue Cross Medicare Advantage Dual Care Plus (HMO SNP) 2020 Program Summary
01/10/2023 FEP Annual Medical Record Data Collection for Quality Reporting – HEDIS
01/05/2023 Prior Authorization Codes Updated, Effective April 1
01/03/2023 Current Procedural Terminology (CPT^®) Codes Updated for Prior Authorization for Medicare and Medicaid programs, April 1
01/03/2023 ClaimsXten™ Quarterly Update Effective April 17, 2023