October 2021
Provider Learning Opportunities
Blue Cross and Blue Shield of Illinois (BCBSIL) offers free workshops and webinars for the independently contracted providers who work with us. These trainings focus on electronic options and other helpful tools and resources. A preview of upcoming training sessions is included below. For more information, refer to our Webinars and Workshops page.
BCBSIL WEBINARS |
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Descriptions: |
Dates: |
Session Times: |
| 2021 Commercial Prior Authorization Reminders and Updates Join our Provider Network Consultant team for an overview of how to navigate commercial, non-HMO prior authorization and related requests for review. We’ll cover key dates, reminders and resources, with an emphasis on helping you prepare for a utilization management vendor change for Pharmacy Medical Oncology, effective Oct. 11, 2021. |
10 a.m. to noon 1 to 3 p.m. |
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| Availity® Authorizations Tool We are hosting one-hour webinar sessions for providers to learn how to electronically submit inpatient and outpatient benefit preauthorization requests handled by BCBSIL using Availity’s Authorizations tool. |
11 a.m. to noon | |
| Availity Claim Status We are hosting complimentary webinars for providers to learn how to verify detailed claim status online using Availity’s Claim Status tool. |
Oct. 7, 2021 Oct. 14, 2021 Oct. 21, 2021 Oct. 28, 2021 |
11 to 11:30 a.m. |
| Availity Remittance Viewer and Reporting On-Demand These online tools give providers and billing services a convenient way to view claim detail information from the 835 Electronic Remittance Advice (835 ERA) and the Provider Claim Summary (PCS). Attend a webinar to learn how to gain or grant access, conduct a search, view general and payer-specific information and save or print results. |
Oct. 28, 2021 | 1 to 2 p.m. |
BCBSIL Back to Basics: ‘Availity 101’ |
11 a.m. to noon |
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| BCCHPSM and MMAI Required Provider Training Webinars If you provide care and services to our Blue Cross Community MMAI (Medicare-Medicaid Plan)SM and/or Blue Cross Community Health PlansSM (BCCHP) members, please join us for guided webinars that will review all the provider trainings required by the Centers for Medicare & Medicaid Service (CMS) and/or Illinois Department of Healthcare and Family Services (HFS). |
Oct. 6, 2021 Oct. 20, 2021 |
9 to 11 a.m. 1 to 3 p.m. |
| Comorbid Physical and Mental Health Conditions Join our board certified psychiatrists and behavioral health medical directors for a one‐hour webinar on comorbid behavioral health and physical health conditions. Those who attend will earn one continuing medical education credit (CME) or continuing education unit (CEU). |
Oct. 25, 2021 |
8 a.m. to 9 a.m. |
| Medicaid HEDIS® 101 Training This training will cover a wide range of quality improvement topics and resources to help improve Healthcare Effectiveness Data and Information Set (HEDIS) rates. |
Oct. 13, 2021 Oct. 27, 2021 |
Noon to 1 p.m. |
| Medicaid HEDIS 102 Training This training is designed for contracted providers working with new BCCHP and MMAI members. We’ll review HEDIS measure updates, discuss strategies to sharpen your knowledge of HEDIS measures, and cover the measure year (MY) 2020 and MY 2021 HEDIS technical specifications and general guidelines. |
Oct. 19, 2021 | Noon to 1 p.m. |
| Monthly Provider Hot Topics Webinar These monthly webinars will be held through December 2021. They are customized for the BCBSIL contracted provider community. BCBSIL Provider Network Consultants (PNCs) will use this format to share upcoming initiatives, program changes and updates, as well as general network announcements. |
Oct. 13, 2021 |
10 to 11 a.m. |
| Orientation Webinars for New BCCHP and MMAI Providers These orientation webinars will give you the opportunity to ask the PNCs questions and will highlight topics such as care coordination, third party vendors, claims, prior authorization and required provider training. |
Oct. 12, 2021 Oct. 19, 2021 |
10 to 11 a.m. 10 to 11:30 a.m. |
| Orientation Webinars for New Commercial Providers These orientation webinars will give you the opportunity to ask the PNCs questions and will highlight topics such as network participation and benefits, claims, post-processing claim inquiries, supplemental resources, credentialing and contracting. |
Oct. 20, 2021 |
10 to 11:30 a.m. |
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity.
HEDIS is a registered trademark of the NCQA.
Material presented is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment.
The New Mexico Osteopathic Medical Association (NMOMA) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. NMOMA designates this program for a maximum of 1 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician's participation.
Social Work CEUs Approved by NASW-NM. The Licensee must maintain proof of continuing education courses taken for the past four (4) years. The New Mexico Regulations and Licensing Department, Boards and Commissions, Social Work Licensing Board reserves the right to audit a licensee’s continuing education records as it deems necessary. This event has been approved for a total of 1 CEU.
Physicians (MDs and DOs), nurses, physician assistants, nurse practitioners and psychologists can use AOA Cat 1-4 credit toward licensure. Social workers and mental health counselors (LPC, LCPC, LPCC) can use the Social Work CEU credit toward licensure.