Important News

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Blue Cross NC Announces $8 Million Commitment to Rural Health Initiatives Statewide

2020-02-20 -

Medicare Advantage Risk Adjustment Validation Audit - February 2020

2020-02-12 -

2020 HEDIS Medical Record Review Begins This Month

2020-02-10 -

Risk Adjustment Provider Education - Vascular Disease: Channeling the ICD-10 Coding Guidelines

2020-02-07 -

Pharmacy Program Updates Effective April 1, 2020

2020-02-06 -

Attend the Next Speaker Series on February 19 - Opening Up While Locking Down

2020-02-04 -

Refreshed Today We Video Begins Airing on Monday, February 3

2020-02-04 -

Blue Cross NC Introduces New Payment Model to Reward Behavioral Health Providers for High-Quality, Coordinated Care

2020-01-28 -

Clarification About New Payment Codes for Opioid Use Disorder for Opioid Treatment Centers

2020-01-27 -

Level 1 Provider Appeals Must be Submitted on the Revised Form, Effective March 31, 2020

2020-01-27 -

Surgery for Morbid Obesity – A Reminder About Blue Cross NC's Behavioral Health Requirements

2020-01-24 -

Clarification About Behavioral Health Services and Prior Authorization

2020-01-13 -

Risk Adjustment Provider Education - New Year, New Risk Score: Identifying Risk-Adjustable Conditions and Their Importance to a Patient’s Risk Score in 2020

2020-01-13 -

Attend the Next Speaker Series on January 22 - Moving the Needle for the Public’s Health

2020-01-07 -

Prior Authorization Requirement for Medicare Members’ Durable Medical Equipment

2020-01-06 -

CMS-Mandated Reimbursement Changes Affecting Medicare Advantage Members in 2020

2019-12-31 -

New Skilled Nursing Facility Reimbursement Methodology for Medicare Advantage Members

2019-12-23 -

2020 Provider Resource Guide for Experience Health Medicare Advantage

2019-12-23 -

Express Scripts and Prime Therapeutics Collaborate to Deliver More Affordable Care to More than 100 Million Americans

2019-12-19 -

Additional Enhancements to the Provider Feedback Application Now Available

2019-12-19 -

It's Time to Review Your Medicare Advantage Demographic Information

2019-12-19 -

Medicare Advantage Risk Adjustment Validation Audit Begins in January 2020

2019-12-19 -

Blue Cross NC Temporarily Suspends Pathology Billing Policy AHS-R2169

2019-12-16 -

2020 HEDIS Medical Record Review Begins in February

2019-12-13 -

Clinical Data Exchange Dashboard for Providers

2019-12-11 -

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