Network News is a quarterly newsletter for BCBSLA and HMOLA network providers. Every issue contains Medical Policy Updates and information and tips on changes to processes, such as claims filing procedures or reimbursement changes, along with a number of featured articles. You can view past issues of Network News below.
3rd Quarter 2016
This newsletter features topics on Administrative Representatives, Individual Coordination of Benefits, Removing the PCP Name from ID Cards, New Network Development Manager, Implement a Closed Formulary in 2017, Behavioral Health Authorizations Portal, National Drug Codes (NDCs), New Billing Guidelines for Therapy Services, Updated Code Ranges and more …
2nd Quarter 2016
This newsletter features topics on Required Authorizations, Administrative Representatives, iLinkBLUE Security Changes, Behavioral Health Rainmakers, Facility Workshops, ABAs, Midwives, Physician Assistants, Sleep Study Policy, NDCs, ER/Observations Admissions, Authorization Approval Letters, Medicaid Programs, Lab Services and more …
1st Quarter 2016
This newsletter features topics on Jill Taylor New to Network Development, Correct Use of HCPCS Level II Toe Modifiers, HEDIS: Avoidance of Antibiotics for Adults with Acute Bronchitis, Healthier Generation Benefit and more ...
4th Quarter 2015
This newsletter features topics on Online Tools, Updated Recredentialing Process, Hours on HDOs, Blue Advantage (HMO), New Directions, Administrative Representatives, Authorization Changes, NDC on Claims, Updated Drug Allowables, Reporting ICD-10, Injury-related Claims, Nurse-midwife Claims, Advantage Blue (HMO) Claims, New Modifiers and Places of Treatment, Updated Code Ranges, Disputing Claims, HEDIS Measures, Medical Policy Update, Product Enhancements, New CEO Named and more…
3rd Quarter 2015
Our New Provider Relations Manager, HMO Expanding Statewide, In-network Labs, Behavioral Health Network Changes, Administrative Representative, Register for Our Workshops and more ...
2nd Quarter 2015
This newsletter features topics on Enhanced Mobile App, Upcoming Provider Events, Provider Availability Standards, Billing Guidelines for NPs, Incident-to, Behavioral Health Nasal Endoscopy, Oxygen Concentrators, Pregnancy and Drug Assay Screenings, ICD-10, OGB FAQs, Code Updates, Credentialing Delegation Program, Office Compliance, Medical Records, Medical Policies, LAFP Assembly, ICD-10 in Medical Policies, Blue Distinction, New Health Coaching Staff, Nurse of the Year, King vs. Burwell and more…
1st Quarter 2015
This newsletter features topics on ICD-10, Senate Bill 710, Credentialing, Imaging Authorizations, Risk Adjustment Medical Record Requests, Provider Workshops, OGB, Well-child Visit Billing Guidelines, Newborn Billing Guidelines, Modifiers 25, XE, XP, XS and XU, Administrative Appeals, NDC, NDCs on Claims, Premera and Anthem Cyber attacks, HEDIS Chart Reviews, Medical Policies, Better Patient Experiences, Quality Blue and more…
4th Quarter 2014
Changes for 2015 Blue Dental Policies, Community Blue Out-of-Network Referrals, New Provider system of Records, Member Satisfaction Survey, Credentialing Policy Reminder, Quality Blue Primary Care Cost-Savings Incentive, Product Enhancements, Now is the Time to Prepare for ICD-10, Medical Policy Update, and more…
3rd Quarter 2014Features topics on Quality Blue Program, Lab Referrals, Rural Health Clinics, Pass-through Billing, Provider Cost Data, Hospital-based Provider Reporting, OGB, Revised DME Billing Guidelines, Oxygen Concentrators, Interim Bill Types, Modifiers 25 and 50, Reimbursement Review Form, BlueCard, Healthcare Reform, Medical Policy Updates, Types of Appeals, Dr. Cole’s Corner, New QBPC Incentive, QBVP and more…
2nd Quarter 2014Features topics on Healthcare Reform and Servicing Blue Members, Credentialing, Referring to Network Labs, Availability Standards, NP Network Participation, E-FAXES from Catapult, Who pays for Non-Covered Services, OGB Authorizations Update, Drug Screening Assays, Billing for Ventilators, Updated Drug Allowables, Updated HCPCS and DME Allowables, Correct Addresses on Claims, Multiple Births, MS-DRG Groupers, Specificity of Codes, Red Hardcopy Claims, Black Ink on Claims, ICD-10 Transition, Medical Identity Theft, New Quality Blue Webpages, Medical Policy Update, Elective Delivery of Pregnancy Billing Guidelines, Medical Appeals, LA Smoking Cessation Programs, Blue Cross’ Specialty Care Insight Program and more…
1st Quarter 2014Prevent Delays in Processing Credentialing Applications, Signature Required on LSCA, Meet Your Network Operations Team, Provider Workshops, Networks on Health Insurance Marketplace, Medicare Part A Exhaust Claims, Outpatient Procedure Service Reimbursement, Outpatient Code Update, Initial Immunization Administration Codes, ICD-10 Compliance Date To Be Extended, Provider Financial Responsibility, Blue Cross Ends Pilot BTE Program, Medical Management, Medical Policy Update, Blue Cross Welcomes New Medical Directors and more…
4th Quarter 2013New BCBSLA App, Early Provider Payment for End of 2013, Davis Vision, United Concordia Dental, Key Physician Network Eliminated, Community Blue Expands to Shreveport, AIM Holiday Schedule for 2014, Latest HDO Revision Only, New CMS-1500 Form, After-hour Services, PT & OT Updates, Behavioral Health E&M Codes, Diagnosis Specificity Required, Billing for Breast Pumps, Risk-Pool Claims, Medicare Crossover Duplicate Claims, Product Enhancements for 2014, OGB Updates, ICD-10, BlueCard® Updates, Medical Policy Updates, Trisomy 21 DNA Prenatal Testing, HEDIS Measures, The Blue Touch Program, New ERA Enrollment Form & Guide, RxBLUE Reminder, Pharmacy Updates for 2014 and more…
3rd Quarter 2013LSCA Reminder, Defining Hospital-based Providers, Quality Images, Workshops, Refer to Network Labs, New Net Dev Reps, Catheter Codes, Drugs Screening Assays, Outpatient Code Update, ICD-10, IVR, iLinkBLUE, EFT, Continuity Program, Blue Distinction Centers, Medical Management, Medical Policy Update, Drug Savings, Blue Cross Foundation and more…
2nd Quarter 2013
ICD-10, Credentialing, Availability Standards, Credentialing Subcommittee Schedule, MOC Notification, OptiNet Enhancements, Davis Vision, United Concordia, Top Doctors, New Net Dev Reps, Drug Screening Assays, Updated Drug Allowables, Ancillary Services, Hospital Value Program, BlueCard Medical Records on iLinkBLUE, Medical Policy Update, LHEC, New Medical Director and more…
1st Quarter 2013
Healthcare reform, credentialing, BMS Groups Transition to BBS, Nurse Practitioners, Registered Dietitians and Audiologists Join Our Networks, Rural Health Requirements, ICD-10 Coding, Updated Drug Allowables, Billing Modifier -52: Facility Reductions, Billing Modifiers -73 & -74, Behavioral Health E&M Code Billing Changes, Blue Distinction Centers and Centers+, Office of Group Benefits (OGB) Related Articles, Medical Policy Update, Medical Management Articles, Blue Cross Received Another "A" Rating, Provider Disputes and more…
4th Quarter 2012
Credentialing, BCBSLA.com goes mobile, Provider Relations, AIM's 2013 Holiday Schedule, AIM's New Program, St. Mary Parish added to HMOLA, Nurse Practitioners Invited to Join Networks, Lab Services, Product Enhancements, New Vision Program, Rural Health Clinic Billing, Drug Screenings, Positive Confirmation Guidelines, Healthcare Reform, Flu Shots, Office of Group Benefits (OGB), BlueCard Subrogation, BlueCard Medical Records, Ancillary Services, Estimated Treatment Cost Tool, Medical Policy Update, Healthy Blue Beginnings, Oncology Management Program, New Kiosk at Mall, Drug Formulary Updates, New Drugs Added to Lead with Generics Program, New Drug Auth Requirements, Dr. Carmouche is New CMO, New IVR System and more…
3rd Quarter 2012
Blue Cross' All-new and Improved IVR Phone System; Hospital Based Reporting Reminder; Bridges to Excellence; Duplicate Claims Handling for Medicare Crossover; Walgreens Back in Network Effective September 15, 2012; Pharmacy and Medical Policies Temporarily Lifted Due to Hurricane Isaac; Include Supporting Documentation with your Credentialing Application; Remember to Use Updated LSCA; 2012 Credentialing Subcommittee Meeting Schedule; Member Satisfaction High; Text4baby; 2012 AIM Clinical Guideline Changes; Medical Policy Update; Tips for Careful Antibiotic Use for Pediatric Patients and more…
2nd Quarter 2012
Transparency, NPI Only, Availability Standards, Reporting Hospital-based Physician Records, Referring to Network Laboratories, Credentialing and Recredentialing Processes, Maintenance of Certification Notification, E&M Codes for Therapy, ICD-10, BlueCard Medical Records and Refund Policies, Medical Policy Update, Maternity Programs, text4babyTM, OptiNet® Assessment, HIPAA 5010, BlueByYou, Blue365® and more…
1st Quarter 2012
YOUology, NPI Needed for IVR Changes, Refer Members to Network Provider for Ancillary Services, Healthcare Reform Mandate for SBCs, Professional Edit Updates, and more...
4th Quarter 2011
Linkwell Program, What's New in our Provider Directories, BMS Transition to BBS Products Department, JCAHO Accreditation, Urgent Care vs. Emergency Room, Requesting W-9s from Our Providers and more...
3rd Quarter 2011
Concierge Medicine, Credentialing Webpages, Urgent Care vs. Emergency Room, Family Members Excluded, Letters of Medical Necessity, AIM No Longer Supports Fax Requests for Diagnostic Imaging Authorizations, Online Provider Directories Offer More, Requesting W-9s from Our Providers and more...
2nd Quarter 2011Network Labs Save Money, Availability Standards for Blue Cross and HMOLA Providers, 2011 Provider Workshop Presentations are Online, Appropriate NDC on Claims, Referring Physician NPIs on Claims, When Billing for ABA Therapy, When Billing for OTHER Services Related to Autism, Snail Mail: Email is Faster, Subcontract Services at Network, Required Provider Information for Claims, HIPAA 5010 & ICD-10 Compliance, Guidelines for BlueCard Medical Records, Telemedicine Claims, BlueCard Provider Satisfaction, "Doctor Finder" App for the iPhone, Get the Recognition You Deserve from Quality Blue and more...
1st Quarter 2011
Pieces of Blue for a Better You, Admitting Privileges for Key Physicians, Accreditation for DME, Wellness Visit with Sick Results, Policy for NPs, Pas or CRNFAs, Billing for TENS Units and Supplies, 2011 Federal Employee Program (FEP) Benefit Changes, ICD-10-CM HIPAA and 5010 is coming, ePrescribing Identification on National Provider Website, Medical Policy Update, Blue Cross Welcomes Dr. Phenow, Updates to Provider Manuals and more…
4th Quarter 2010Blue Distinction®, Out-of-Network for In-Office Surgery, Concierge Medicine, Accreditation for DME, Updated Provider Manuals, Admitting Privileges for Key Physicians, Discount Vision & Hearing Networks, Fully Covered Flu Shot, ICD-10 Compliance is on the Horizon, HIPAA 5010 FAQs, Report Full Ambulance Miles, 2010/2011 Product Enhancements, Pharmacy Updates for 2011, COB Now Accepted Electronically, BCBSLA Contracts with Accordant, Revise or Repeal Healthcare Law, 2011 Increased MAC for FEP Dental and more…
3rd Quarter 2010
Patient Protection & Affordable Care Act, Lab Referrals to Network Providers, Filing Claims for Oil Spill-Related Services, Rendering Provider NPIs Required and Mental Health Resource Line for Coastal Residents Affected by Spill and more...
2nd Quarter 2010
Featured topics: OGB HMO Plan Provider Information & Special OGB Speed Guide insert, Preparing for HIPAA 5010 and ICD-10, Updated Anesthesia Billing Guidelines, New G-Codes for Drug Assays, Self-Administered Medications Update, Preventive & Wellness Benefits, Updates in Mental Health Parity, Refer Members to Network Providers, Authorizations for Out-of-State Blue Members, 2010 BlueCard Program Survey, Lowe's Employee Authorizations for Specialty Drugs, Medical Policy Update, FEP news and more...
1st Quarter 2010
Featured topics: Healthcare Reform, Blue Surgical Safety Checklist, NPI-only by Mid 2010, Medicare Changes Payment Rules for Consultation Services, Availability Standards, Coding of the Future: ICD-10, Anesthesia Billing Guidelines, 99231 Instead of 01999, HMOLA Lab Program, Blue Health Record, AIM Call Center Holidays, BlueCard Out-of-Area Tool on iLinkBLUE, Medicare Advantage, Automating Medical Records, Guidelines for Submitting Medical Records, Preauthorization Hints, Medical Policy Update, Favorable Medical Policy Survey Results, Edison Chouest Offshore Chooses Blue Cross, Blue Cross Awarded OGB Contract for HMO, Follow Blue Cross on Facebook and more...
4th Quarter 2009Featured topics: Healthcare reform, Credentialing requirements for diagnostic imaging centers, AdvantageBlue network expiring, Filing POA indicators, Reimbursement for multiple births, Updated H1N1 vaccine billing information, Member cost sharing, Limited benefit products, Changes in licensees, Walmart associates have new home plan, Medical policy updates, Formulary updates, Free wellness plan for Blue Cross customers, 2010 Product enhancements and more...
3rd Quarter 2009 Featured topics: Healthcare Reform, BDC Cardiac Care, CLIA Registration Required, Freestanding Diagnostic Imaging Credentialing Requirements, TRICARE Proposal Results, Serious Preventable Events Policy, POA Indicators, Billing Guidelines for Prolonged Services, Influenza Vaccine Billing Guidelines, Medicare Advantage, Medical Policy Update, Auths Required for Targeted Medications, First Fill for Free, Lead with Generics, Imaging Authorizations Program, 2009 Angel Award Winners and more...
2nd Quarter 2009 Featured topics: New President & CEO, Step Therapy, First Fill for Free, ESI for Rx Auths, Network Lab Referrals, Urgent Care & ASC Credentialing Requirements, Availability Standards, Pass-through Billing, Zero Units on Electronic Claims, Updated CPT & HCPCS codes, CLIA Registration Required, Blue Advocacy Website, H&E Equipment through BlueCard and more...
1st Quarter 2009 Featured topics: Hospital Compare Tool, ID Cards, Credentialing and Admitting Policies, Caddo Parish School Board Offers HMO's POS Plan, Multiple Payment Registers, Billing Single Bilateral Procedures, POA Indicators, Referring Physician NPIs, CLIA Registration Requirements, Servicing Medicare Advantage Members, Reimbursement Review Form4th Quarter 2008Featured topics: New Member ID Cards, No Prior Authorizations Results in Penalties, Credentialing and Accreditation Changes for Freestanding Diagnostic Imaging Providers, 2009 FEP Prior Approval Requirements, Product Enhancements, Formulary Updates
3rd Quarter 2008Featured topics: Groups Move to Facets, Medical Code Editing Section Now on iLinkBLUE, Provider Demographic Information Soon Available to Members, iLinkBLUE Makes Checking BlueCard Claims Status Easier, Blue Cross Interim President and CEO
2nd Quarter 2008
Featured topics: NPI Deadline is here, HCPCS Allowable Charge Update, Increased Therapy Maximums, DME Rental vs. Purchase Price, Medical Policy Update, LTAC-Rehab & SNF Request Form, and Specialty Pharmacy Program Changes
1st Quarter 2008Featured topics: Provider Survey and Focus Groups Results, Personal Health Records Available Online, FEP Offers Sub-option to Basic Consumer Option, Wal-Mart Stores, Inc. Benefit Changes
January 2008Featured topics: Benefit and Product Changes 2008, Drug Formulary Updates, FEP Changes Pharmacy Vendor, Standardized Medicare Crossover Program Expanded
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