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Hot Topic Library - 2014

The following news items were posted on the PRC on the dates noted. News items are featured on the main page for a minimum of five days and, upon their initial posting date, also are added to this Library. Despite eventually being removed from the main page, the messages may remain relevant and will be maintained here for your future reference.

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Date Posted Message
12/30/14 Two Chemotherapy Drugs To Require Authorization, Effective Feb. 23, 2015
12/29/14 December 2014 Medical Policy Updates
12/05/14 ICD-10 Clinical Coding Testing Available To All Network Providers
12/03/14 Medicare Advantage Star Care Gap Report News
11/26/14 Attn: Ophthalmologists: Prior Authorization No Longer Needed For Intravitreal Avastin
11/25/14 Medicare Advantage Incentive Data Submission Deadlines
11/24/14 Radiation Therapy G-Codes Replacing CPT Codes On Jan. 1, 2015
11/24/14 2014 Childhood Obesity Physician Tool Kit Available
11/19/14 Have Questions About Highmark's Medical Policies?
11/18/14 Attention PCPs: Select Freedom Blue PPO Members to Receive Free Colorectal Cancer Screening Kits
11/11/14 Check Out the Latest Issue of Provider News Today - It's Full of Important Information for 2015!
11/11/14 Highmark Blue Cross Blue Shield West Virginia Announces Changes To Professional Fee Schedule For Dates Of Service Of 1/1/15 And Beyond
11/03/14 Office Site and Medical Record Review Change
10/31/14 Electronic Subscribers to be Auto-Enrolled for all Highmark Email Notifications
10/31/14 Low-Dose CT For Lung Cancer Screening To Be Added To Radiology Management Program, Effective 1/1/15
10/30/14 Attention Professional Providers: Introducing Medical Policy Update
10/30/14 Attention Facility Providers: Introducing Medical Policy Update, Your New Source For Medical Policy Information
10/27/14 Please Read Our Medical Policy Updates for October 2014
10/24/14 Breast Pumps Covered By Insurance Can Now Be Ordered Directly From Manufacturer
10/22/14 Medicare Advantage Incentive Program News
10/17/14 New Formulary Details: Medicare Advantage Annual Notice Of Changes Mailed To Members
10/09/14 NEW DETAILS: Medicare Advantage: Annual Mailing Released to Members
10/09/14 Highmark West Virginia Increasing Payout Levels for End-of-Year Star Rating Calculation Tiers
10/09/14 NEW DETAILS: Medicare Advantage: Annual Mailing Released To Members
10/06/14 Quality Blue Physician Pay-for-Value and MAIP Stars Mastheads have been Revised
10/02/14 Consumer Spending Account Change To EOB, EOP, Remittance And 835 ERA Beginning Oct. 20, 2014
10/01/14 Highmark To Discontinue Coverage Of Numerous Compounded Medications For Commercial Pharmacy Product Members
10/01/14 Medicare Advantage: Annual Mailing Released To Members
09/19/14 Time Is Running Out: Take The Five-Question Alliance For A Healthier Generation Survey Today
09/16/14 Updated List Of Procedures/DME Requiring Authorization, Effective September 15, 2014 - Now Available Via The Provider Resource Center
09/10/14 UPDATE ISSUED: Eff. 9/1/14, Highmark to Add 11 Drugs to Pharmacy Prior Auth Program for MA Mbrs
09/10/14 Colorectal Cancer Screening Options
09/10/14 3rd Qtr. 2014 Formulary Update for Highmark Providers
09/03/14 Prior Authorization Will Be Required For 10 Drugs, Effective 11/3/14
09/02/14 Updated List Of Procedures/DME Requiring Authorization Now Available
08/21/14 ICD-10 Update: U. S. Department of Health and Human Services (HHS) Final Rule Released
08/19/14 Blue Physician Recognition Program Information Updated
08/08/14 Update: Behavioral Health Automated Care Management Submission Manual Available
08/01/14 Revised NOMNC Form Available on the PRC
08/01/14 Revised NOMNC Form Available on the PRC
07/18/14 2nd Qtr. 2014 Formulary Update for Highmark Providers
07/17/14 Updated List of Procedures/DME Requiring Authorization, Effective July 1, 2014
07/07/14 Effective 9/1/14, Highmark To Adjust Fees For Continuous Glucose Monitor Supplies
07/01/14 Attn: DMEPOS PAP Quality Program Participants: New October 1 Deadline For Data Submission; Administrative Requirements Updated
06/27/14 NaviNet® Pharmacy Authorization: Teleconference FAQs Now Available
06/24/14 New Guide Offers Step-By-Step Instructions For Updating Your Provider File Information Via Navinet®
06/11/14 Effective 8/1/14, Partial Hospitalization And Intensive Outpatient Psychiatric Services Will Require Authorization
06/02/14 Medicare Advantage Members are receiving their Personal Care Plan
06/02/14 Highmark Delays Implementation Of Monitored Anesthesia Care Policy
05/23/14 Clarification Regarding Non-Coverage Determinations For Medicare Advantage Members
05/20/14 Don’t Miss a Pharmacy Authorization Webinar
05/15/14 New and Existing Medicare Advantage Members Encouraged Visiting their Primary Care Physician
05/15/14 Join Us for a Provider Workshop on June 10, 11, 17 or 18!
05/08/14 Effective 7/8/14, Highmark Blue Cross Blue Shield West Virginia To Cease Coverage Of Compounded Medications For Commercial Product Members
05/02/14 Hematologists/Oncologists: Four Chemotherapy Drugs To Require Authorization, Effective July 1, 2014
04/30/14 Physicians And Hospice Providers: New Process For The Coverage Of Prescription Drugs For Hospice Patients, Effective 5/1/14
04/28/14 Highmark West Virginia Moving Ahead To Ensure ICD-10 Preparedness, Despite Federal Decision
04/28/14 Updated Medical Policies Now Available
04/09/14 More Than 180,000 Chose Highmark Plans During ACA Enrollment Period
04/07/14 Effective 6/1/14, Highmark Blue Cross Blue Shield West Virginia To Adjust Fees For Electric Breast Pumps
03/28/14 Effective 3/24/14, Highmark Blue Cross Blue Shield West Virginia To Update Its List Of Outpatient Procedures/Services Requiring Authorization
03/20/14 1st Qtr. 2014 Medicare-approved Formulary Update for Highmark West Virginia and HHIC Providers
03/19/14 New Resource Available to Support Your Transition to ICD-10
03/17/14 Radiation Therapy Authorization Program Information Updated
02/24/14 Adding New Practitioners to Your Group? Let Highmark Enroll Them in Your Group e-Subscribe Account
02/17/14 WEDI Offers Free ICD-10 Webinar Series
02/13/14 Provider Service Experiencing High Call Volumes Today
02/12/14 2014 Medicare Advantage Incentive Program
02/10/14 TTY Updates To Notice Of Medicare Non-Coverage (NOMNC) And Detailed Notice Of Discharge (DNOD) Forms
02/05/14 Provider Service Experiencing High Call Volumes Today
02/03/14 Provider Service Experiencing High Call Volumes Today
01/24/14 Bluecard News! Electronic Provider Access (EPA)
01/14/14 Effective 3/17/14, Two Codes To Be Added To Highmark's Radiation Therapy Auth Program
01/07/14 Physical Medicine Management Program Administrative Guide Has Been Revised
01/04/14 Update List of Procedures/DME Requiring Authorization, Effective January 1, 2014 Now Available

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Last updated on 6/15/2017 11:56:15 AM

 

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The following entities, which serve the noted regions, are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield. West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield. Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.

All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.