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Telehealth Information for Therapy Providers During the COVID-19 State of Emergency

Audience: Physical, Occupational and Speech Therapists

To assist our participating providers in delivering care to our members during the COVID-19 State of Emergency, we will provide reimbursement for some therapy codes when they are provided via telehealth and will also provide reimbursement for telephone services and online...

COVID-19 Administrative Contingencies, Assistance for Providers – Additional Lines of Business Added

Audience: Providers and Facilities

In our communication to you dated March 25, 2020, we shared the actions we are taking to reduce your administrative burden so that you can spend more time providing care to our members.  At that time, we stated that the Federal Employee Program, the...

CareAdvance Provider® Tool Expanding to Commercial Business on April 20

Audience:

Our new electronic preauthorization tool, CareAdvance Provider, will be used to request authorizations for our members with commercial coverage as of April 20, 2020. This includes: traditional indemnity, HMO, PPO, EPO and point-of-service products.  Important note:...

Telehealth Information for Chiropractors During the COVID-19 State of Emergency

Audience: Chiropractors

The following information is meant to assist you in providing chiropractic care and ease of access to our members during the COVID-19 State of Emergency.   On March 20, 2020, a bulletin was sent to all participating providers regarding enhanced reimbursement for...

Discontinuation of Paper Notification of Claim Billing Errors Effective April 4

Audience: Professional providers

Effective April 4, 2020, Excellus BlueCross BlueShield will discontinue its practice of sending a paper notification when certain billing errors occur. This change is part of our overall effort to reduce the amount of paper sent to provider practices.  We first...

COVID-19 Administrative Contingencies, Other Assistance for Providers

Audience: Providers and Facilities

We are grateful for the service that our participating providers and facilities are providing to our members and communities during the COVID-19 State of Emergency. Our goal is to reduce the administrative burden on providers and facilities so that more time can be spent...

New Prior Authorization for Select Oncology Medications Starting June 1

Audience: Oncologists, Hematologists, Neurologists and Rheumatologists

Over the past few months multiple new biosimilar oncology medications have entered the market. In an effort to reduce costs while maintaining high safety, efficacy and quality standards we are deploying new prior authorization requirements on select oncology medications...

Medical Utilization Management Program Updates Effective April 6, 2020

Audience: All providers

We would like to share an overview with you regarding our standard medical Utilization Management (UM) Program updates effective for requests beginning April 6, 2020. These updates will be available on March 27, 2020. For services already existing on our preauthorization...

COVID-19 Testing Codes; No Member Cost-Share for Telehealth Visits

Audience: Providers and Facilities

We are providing an update on the information we currently know related to Novel Coronavirus (COVID-19) to assist you in your day-to-day business with us. Please check our COVID-19 page and the News & Updates section regularly, as developments are evolving rapidly....

You are Invited! CareAdvance Provider® Authorization Tool WebEx

Audience: All Providers

Registration for our April 2, 2020, CareAdvance Provider training WebEx is closed. We have added the following session, which will focus on physical therapy authorizations: Tuesday, April 7, 2020 10-11 a.m. Topics: Accessing the CareAdvance Provider tool ...

You are Invited! CareAdvance Provider® Authorization Tool WebEx Physical Therapy Session

Audience: Physical Therapists

Registration for our April 2, 2020, CareAdvance Provider training WebEx is closed. We have added the following session: Wednesday, April 15, 2020 1-2 p.m. Topics: Accessing the CareAdvance Provider tool Authorization entry and tool navigation Accessing...

Advanced Opioid Management Program Updates

Audience: Participating Providers

The Advanced Opioid Management Program has successfully reduced the risk of opioid abuse and misuse in the community since implementation on July 1, 2018. This program, in combination with provider vigilance of opioid prescribing has: Reduced the average day supply per...

You are Invited! CareAdvance Provider® Authorization Tool WebEx

Audience: All providers

Are you familiar with CareAdvance Provider, our new web-based authorization tool that is available for Safety Net-related authorizations?  If not, we’re here to help!  Join us for an informational WebEx: Thursday, April 2, 2020 10-11 a.m. Topics: ...

Coronavirus (COVID-19) Update

Audience: Providers and Facilities

Excellus BlueCross BlueShield is closely monitoring Novel Coronavirus (COVID-19). Our top priority is the health and well-being of the members that we serve. Because the COVID-19 situation is rapidly evolving, the U.S. Centers for Disease Control and Prevention website...

2020 HIPPS Codes Required on Medicare Advantage Home Health Claims Effective as of May 1

Audience: Certified Home Care Agencies

We advise you that claims received on or after May 1, 2020 with 2020 dates of service, will require valid 2020 Health Insurance Prospective Payment System (HIPPS) codes. Use of 2020 HIPPS codes will not have any impact on reimbursement. Your current reimbursement rate...

Showing 91– 105 of 139 Results