Blue Review - June 2020  |  view in Web Browser

 

Blue Review

A newsletter for contracting institutional and professional providers

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June 2020

CMO Perspective

The Importance of Childhood and Adolescent Immunization During the COVID-19 Pandemic

In this month’s CMO Perspective, our Vice President and Chief Medical Officer, Dr. Derek J. Robinson, M.D., MBA, FACEP, CHCQM, discusses the need to educate parents on why it’s safer to keep some appointments – such as doctor visits for childhood vaccinations – despite the pandemic.

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What’s New

Recoupment Letter Threshold for Government Programs Claims, Effective July 31, 2020

Effective for claims processed on or after July 31, 2020, Blue Cross and Blue Shield of Illinois (BCBSIL) will implement an overpayment recovery threshold for government programs claims.

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Pharmacy Program

Drug Cost Transparency Tool Available for Fortune Brands Group Members

We are excited to introduce a pilot program for a real-time prescription benefit tool to be used by providers of BCBSIL members with Fortune Brands employer group plan, which includes the three-character member ID prefixes FBR, RML and F2N.

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Claims and Coding

Coding Education Available for Medicare Advantage HMO Providers

BCBSIL has a team of Coding Compliance Specialists who offer coding and documentation education to assist providers in accurately capturing and documenting patient conditions. The Coding Compliance Specialists are available to help contracted Medicare Advantage HMO providers with education on coding practices and to assist providers with questions about industry coding standards.

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Clinical Updates, Reminders and Related Resources

High-Tech Imaging Providers: Action Needed

If you bill BCBSIL for the technical component of Computed Tomography (CT/CTA), Magnetic Resonance Imaging (MRI/MRA), Nuclear Cardiology and Positron Emission Tomography (PET) scans, please complete your OptiNet® assessment today.

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Electronic Options

Calls to Electronic Commerce Services will be Redirected to Email as of June 15, 2020

The BCBSIL Electronic Commerce Services phone number (800-746-4614) will be retired on June 15, 2020. As of this date, providers and/or clearinghouses will be directed to email their inquiries to Electronic Commerce Services versus calling. 

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Focus on Behavioral Health

Behavioral Health Providers: Take A Tour of Online Tools and Resources

Electronic options are available to help you streamline administrative functions in your office.

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Provider Education

Provider Learning Opportunities

BCBSIL offers free webinars and workshops for the independently contracted providers who work with us. A preview of upcoming training sessions is included in this month’s issue.

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Notification and Disclosure

Important Dates and Reminders

Check here each month for a quick snapshot of recent implementations, upcoming changes, special events, important deadlines and other reminders.


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Stay informed!

Watch the News and Updates on our Provider website for important announcements.

Update Your Information

Do you need to update your location, phone number, email or other important details on file with BCBSIL? Use our online forms to request an information change.

Provider Training

For dates, times and online registration, visit the Webinars and Workshops page.

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