Current News 2020 News Medical Policy Updates (10/30/2020) Medical Policy Updates (10/30/2020) New Requirement for Telehealth Approval New Requirement for Telehealth Approval UPDATE: CR Modifier UPDATE: CR Modifier Reminder: Reverting to Pre-Payment High Dollar Claims Review Reminder: Reverting to Pre-payment High Dollar Cl… New Medical Policy: Minimal Residual Disease New Medical Policy: Minimal Residual Disease Medical Policy Updates (09/30/2020) Medical Policy Updates (09/30/2020) CPT Code C9803 CPT Code C9803 My Health Planner — A Digital Medical Management App Connecting Patients to Care My Health Planner - A Digital Medical Management … New Update: Temporary Expansion for Telehealth Services New Update: Temporary Expansion for Telehealth Se… Pre-payment High Dollar Claims Reviews: New Dollar Threshold Pre-payment High Dollar Claims Reviews: New Dolla… New Update: Pre-payment High Dollar Claims Reviews New Update: Pre-payment High Dollar Claims Reviews Medical Policy Updates (08/31/2020) Medical Policy Updates (08/31/2020) Approved Telehealth Vendors Approved Telehealth Vendors COVID-19: Polymerase Chain Reaction (PCR) & Testing for Back to School/Work COVID-19: Polymerase Chain Reaction (PCR) & Testi… Medical Policy Updates (07/30/2020) Medical Policy Updates (07/30/2020) COVID-19 Testing: Billing Updates COVID-19 Testing: Billing Updates COVID-19 Updates COVID-19 Updates Update: Temporary Expansion for Telehealth Services Update: Temporary Expansion for Telehealth Servic… Serology (antibody) Testing and COVID-19 Related Services Serology (antibody) Testing and COVID-19 Related … Medical Policy Updates (06/30/2020) Medical Policy Updates (06/30/2020) Pre-payment High Dollar Claims Reviews Update (06/29/2020) Pre-payment High Dollar Claims Reviews Update (06… Strong Password Protection Strong Password Protection New Policy: Gamma-glutamyl Transferase New Policy: Gamma-glutamyl Transferase Pre-payment High Dollar Claims Reviews Update (06/03/2020) Pre-payment High Dollar Claims Reviews Update Using the Correct Modifiers for Anesthesia Claims Using the Correct Modifiers for Anesthesia Claims FAQs for COVID-19 FAQs for COVID-19 Medical Policy Updates (5/29/2020) Medical Policy Updates Medical Policy Updates (4/30/2020) Medical Policy Updates Attention PCPs: Temporary Telehealth Expansion for Pediatric Preventive Visits Attention PCPs: Temporary Telehealth Expansion fo… Reminder: Use In-network Laboratories for COVID-19 Testing Reminder: Use In-network Laboratories for COVID-1… Pre-payment High Dollar Claims Reviews Update (04/15/2020) Pre-payment High Dollar Claims Reviews Update Medical Policy Updates (4/1/2020) Medical Policy Updates Temporary Telehealth Coverage for PT, OT and ST Temporary Telehealth Coverage for PT, OT and ST COVID-19 Billing Guidelines COVID-19 Billing Guidelines Use RadMD for Radiology Prior Authorizations Use RadMD for Radiology Prior Authorizations (165… Temporary Expansion of Reimbursement for Telehealth Services Temporary Expansion of Reimbursement for Teleheal… Coronavirus 2019 (COVID-19) Coronavirus 2019 (COVID-19) Prior Authorizations for MUGA Scan and Myocardial Perfusion Imaging Prior Authorizations for MUGA Scan and Myocardial… 2019 News A New Way to Manage Prescription and Medical Specialty Drugs Continue Monthly Care Opportunity Reports Continue Urgent Notice For Podiatrists Regarding Foot Soak Prescription Medications Continue HEDIS: Supplying Discharge Summaries Continue Important Member Identification (ID) Card Information Continue Policy Revision Notice: CAM 009 – Allergy Immunotherapy Continue Casting and Splint Supplies Continue Medical Record Requests for Centers for Medicare & Medicaid Services (CMS) Audit Continue Warning to Providers Regarding Fraudulent Prescription Scam Continue Update to Claims Logic: CAM 20406 Testing for Diagnosis of Helicobacter Pylori Continue New Medical Policy: Parathyroid Hormone, Phosphorus, Calcium and Magnesium Testing New Medical Policy: Parathyroid Hormone, Phosphor… Update to Claims Logic: Rapid Antigen Diagnostic Testing (RADT) for Streptococcal Infection Continue Medical Policy Updates- 3/1/19 Continue Medical Policy Updates- 2/12/19 Continue Precertification Changes Continue ClaimsXten Implementation: March 2, 2019 Continue Medical Policy Updates- 1/22/19 Continue 2018 News Provider Enrollment Process Enhancements Continue Claim Edits 251 and B57 Continue High Dollar Claim Reviews Continue Credentialing and Provider File Update Status Requests Continue New Medical Policy: Urine Culture Testing for Bacteria Continue New Medical Policy: Alcohol Injections for the Treatment of Peripheral Neuromas Continue New Medical Policy: General Inflammation Testing Continue August 2018 Medical Policy Updates Continue New Medical Policy: Folate Testing Continue July 2018 Medical Policy Updates July 2018 Medical Policy Updates Centers for Medicare & Medicaid Services (CMS) Audit Centers for Medicare & Medicaid Services (CMS) Au… Referrals for BlueChoice HealthPlan Members Referrals for BlueChoice HealthPlan Members New Medical Policy: Pancreatic Enzyme Testing for Acute Pancreatitis New Medical Policy: Pancreatic Enzyme Testing for… Aimovig: A New Prescription Drug for Migraines Continue Claim Numbers with Blank Spaces Continue SC Providers Could See Record Requests from Inovalon Continue June 2018 Medical Policy Updates Continue Medical Policy Update — Cardiac Biomakers for Myocardial Infarction Continue Pharmacy: New Review Process for Prescription Drugs Korlym and Xyrem Continue BlueCross BlueShield of South Carolina, BlueChoice HealthPlan’s May 2018 Medical Policy Updates Continue BlueCross Announces ClaimsXten Upgrade for 2019 Continue BlueCross, BlueChoice HealthPlan’s April 2018 Medical Policy Updates Continue Ameritox, Ltd.: Network Update Continue Opioid Management Program Effective April 1, 2018 Continue