ICD-10 Compliance Date is Thursday, October 1st

If you are looking for information about ICD-10 compliance, you can visit this page of the BCBSNC website.  On the page you will find plenty of information to help ensure you’re covered all your bases and are ready for the October 1st deadline.

BCBSNC Updates

The following are the most recent updates and important notices from BCBSNC:

Release Dates: September 10 and 11, 2015

• Clear Claim Connection (C3) Enhancements This Fall on Blue eSM Part of Transition to New Technology Platform
• Medicare Advantage Inquiries Available Via Blue e This Fall
• Retirement of Explanation of Payment Paper Delivery for Blue e Users
• 2015-2016 Seasonal Flu Vaccine Information

Important Updates and Reminders:

• Are you considering if telehealth might be right for your practice and patients?  If so, you may be interested in reading a feature about Video Consults and Provider Workflow in the current digital issue of ExecutiveInsight.  The article is written by the senior vice president of products at TouchCare, which is a Durham-based company that offers an app for video consults.  BCBSNC members can download the app for free an ask their personal physicians to join.  Providers considering telehealth services should review BCBSNC’s Corporate Reimbursement Policy for Telehealth prior to offering telehealth services to their BCBSNC patients.
• Reminder:  As with any services for BCBSNC members, please remember that in-network labs must be used for BRCA genetic testing.  Not doing so puts our members in the middle, results in higher out-of-pocket costs for them, and could result in termination from our networks as a participating BCBSNC provider.  Please refer to your provider agreement with BCBSNC re your contractual obligations to use in-network providers and labs on behalf of your BCBSNC patients.  This is a good opportunity to remind providers that BCBSNC implemented an out-of-network lab fee schedule on July 15.
• Did you know these articles are posted online on the Important News page of our provider Web portal at www.bcbsnc.com/providers?  Please visit the news page and scan through recent and past articles at your convenience.

August 19th NCMGMA-NCMS Foundation Webinar | Telemedicine

Telemedicine

August 19, 2015 ~ 12:00 pm to 1:00pm
Alicia Stokes, MHA and Janet McCauley, MD, MHA, CPC, FACOG
Blue Cross Blue Shield North Carolina

North Carolina Medical Society Foundation, in cooperation with the North Carolina Medical Group Management Association, invites you to join us to discuss Telemedicine as part of care transformation and how it will be compensated by BCBSNC.  Time will be reserved for questions and answers within the last fifteen minutes of the presentation.

Speakers

Alicia Stokes, MHA, has worked for BCBSNC for the past two years. Prior to joining BCBSNC, she worked on the provider side at a large academic medical center here in NC for almost a decade. During her tenure there, her focus was on working with providers on operational efficiencies, quality, outcomes, and the patient experience. Her goal in joining BCBSNC is to leverage her prior experiences and her knowledge of the healthcare ecosystem to enable a more value/outcomes based relationship between the Enterprise, our members, and our provider partners.

Janet McCauley, MD, MHA, CPC, FACOG, is a board certified obstetrician-gynecologist with over fifteen years of clinical experience in private practice. She is currently a Senior Medical Director in Medical and Reimbursement Policy at Blue Cross Blue Shield of North Carolina, where she serves as clinical lead for development and implementation of medical and payment policy, and supervises the Corporate and Medicare Advantage Appeals Departments.

Registration

This webinar is free but you must be registered to attend. Space is limited so register early!  After you register, you will receive an emailed confirmation with webinar and phone-in instructions.

Continuing education credit may be granted through your professional organization
(MGMA, PAHCOM, AHIMA, etc.). Please self submit for these organizations.

Questions and More Information

For questions or more information please contact the NC Medical Society Foundation at ncmsfoundation@ncmedsoc.org.

BCBSNC Provider eBriefs: Week of 7/3/15

Week of July 3, 2015

Blue Cross and Blue Shield of North Carolina (BCBSNC) is committed to informing health care providers and facilities participating in our networks about recent medical policy updates, new products and programs, and other relevant BCBSNC news.

The following links are to articles of interest published on BCBSNC’s provider-specific Important News page . Please share this e-newsletter with others in your office who may benefit from the information and encourage them to sign up to receive it directly.

Release Date:  July 2, 2015

• Corrected Claims Must Contain Submission Type Codes Effective July 6
• BRCA Test Request Type Added to Blue e Authorization Requests (see article below re BRCA testing moving to pre-service review as of July 1)
• Blue Medicare Providers: Reminder to Include All Required Information on Claims
• State Health Plan: ValueOptions Is Now Beacon Health Options

Important Reminders:

• Customer Service Hours for Providers Will Change in Early July
• BCBSNC Shifts BRCA Testing From Post-Service to Pre-Service Review
• New Provider Quality Report Coming in July
• Help Your Patients Save Money by Using In-Network Labs (Out-of-network lab fee schedule effective July 15, 2015)
• Five Ways You Can Save Time With CoverMyMeds