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Hot Topic Library - 2015

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 Provider type Message
12/07/15 Professional Your Eligible Female Medicare Advantage Patients May Ask About Bone Mineral Density (BMD) Testing
11/18/15 Professional Four Codes To Be Added To List Of Procedures Requiring Authorization, Effective 1/1/16
11/18/15 All The Latest Issue of Provider News is Now Available
11/18/15 All 4th Quarter Updates to the Highmark Drug Formularies
11/13/15 All CDC Stresses The Importance Of Appropriate Use Of Antibiotics
10/28/15 All Correction To Obstetrical Ultrasound Article Published In September 2015 Medical Policy Update
10/15/15 All Epocrates Access to Highmark's Formulary Ending
10/13/15 All Provider Service Telephone Lines: New Self-Service Prompts Being Rolled Out
10/05/15 All Updated List Of Procedures/DME Requiring Authorization, Effective Oct. 1, 2015
10/05/15 All ICD-10: Mass Claim Adjustment Forms Updated
09/25/15 All Clinical Coding Testing Results To Date
09/24/15 All UPDATE: The AIS Home Visit Palliative Care Program for Medicare Advantage Patients
09/21/15 All ICD-10: Highmark Testing Endeavors: Testing Efforts Shared With Network Providers!
09/04/15 All 3rd Quarter 2015 Update: Changes To The Highmark Drug Formularies
09/04/15 All What's Up Wednesday ICD-10 Teleconference Scheduled For September 16, 2015
09/03/15 All Updated List Of Procedures/DME Requiring Authorization, Effective September 1, 2015
09/01/15 All Video Available On Managing High-Risk Medications In The Elderly
08/20/15 All Some Self-Administered Oral Or Biotechnology Drugs To Be Available At Giant Eagle Specialty Pharmacy, Effective 1/1/2016
08/10/15 All All Drug Claims Billed Under Medical Benefit Must Include NDC, Effective Nov. 16, 2015
08/10/15 All Are You Prepared for ICD-10? Take the ICD-10 Readiness Survey Today!
08/07/15 All Make Sure You Complete Your Required Medicare Training
08/07/15 Professionals "What's Up Wednesday" ICD-10 Teleconference Scheduled For August 19, 2015
08/05/15 Professionals Drug Being Added To Highmark's Medical Injectable Drug Program
07/31/15 All Sixteen Codes to be Added to List of Procedures Requiring Authorization, Effective 10/1/15
07/28/15 All Updated List Of Procedures/DME Requiring Authorization, Effective July 27, 2015
07/21/15 All Physicians: Latest Issue of Clinical Views now online!
07/20/15 All CMS ICD-10 Quick Start Guide Added To Tool Kit
07/10/15 All New Options Available: Provider Service Telephone Lines
07/01/15 All Introducing The AIS Home Visit Program
07/01/15 Professional Fourteen Codes To Be Added To List Of Procedures Requiring Authorization, Effective 9/1/15
07/01/15 All “What's Up Wednesday” ICD-10 Teleconference Scheduled For July 15, 2015
06/30/15 All Dosing Limits For Stelara Enforced
06/30/15 All Updated List Of Procedures/DME Requiring Authorization, Effective June 29, 2015
06/19/15 All 2nd Qtr. 2015 Formulary Update for Highmark Providers
06/17/15 All House Call Program To Launch In June
06/05/15 All “What's Up Wednesday” ICD-10 Teleconference Scheduled For June 17, 2015
06/02/15 All Updated List Of Procedures/DME Requiring Authorization, Effective June 1, 2015
05/18/15 Professional Quality Blue P4V Program - Revised Mastheads for 2015
05/08/15 All 'What's Up Wednesday' ICD-10 Teleconference Scheduled For May 20, 2015
05/06/15 All Register Now for the Quality Blue P4V Regional Care Delivery Model Forum on May 27
05/05/15 Professional Removal of D10 Measure - Diabetes Treatment of Hypertension
05/05/15 All Updated List of Procedures/DME Requiring Authorization, Effective May 1, 2015
05/04/15 All Updated Physical Medicine Management Program Administrative Guide is Now Available Online
04/15/15 All New Tool Kit May Offer Assistance With ICD-10 Transition
04/03/15 All 'What's Up Wednesday' ICD-10 Teleconference Scheduled For April 15, 2015
04/02/15 Professional Eight Injectable Drugs To Require Authorization, Beginning In June 2015
03/31/15 All Updated List Of Procedures/DME Requiring Authorization, Effective March 30, 2015
03/27/15 Professional Monthly Care Gap Reports Are Available
03/20/15 Professional Monthly Care Gap Reports Not Yet Available
03/10/15 All Provider Resource Center HIPAA Link Updated To: ICD-10/HIPAA
03/06/15 All 'What's Up Wednesday' ICD-10 Teleconference Scheduled For March 18, 2015
03/04/15 Professional Medicare Advantage Incentive News: 2015 Medicare Advantage Stars Primary Care Incentive Program
02/27/15 All Effective 5/01/15, 11 Codes to be Added to List of Outpt Procedures/Srvcs Requiring Authorization
02/25/15 All Updated List Of Procedures/DME Requiring Authorization, Effective February 23, 2014
02/23/15 Professional PCPs: Help Educate Patients About Using Urgent Care Centers-Retail Clinics For After-Hours Non-Emergencies
02/19/15 All Important Changes Effective 4/20/15: Provider Assignment of Liability
02/13/15 Professional 1st Qtr. 2015 Formulary Update for Highmark Providers
02/11/15 All New Office Orientation Webinar Wednesday, February 18, 2015
02/06/15 All 'What's Up Wednesday' ICD-10 Teleconference Scheduled For February 18, 2015
02/02/15 Professional 2015 Quality Blue Physician P4V Program Mastheads
01/29/15 All Updated Medicare Advantage Forms Now Available On The Provider Resource Center (PRC)
01/28/15 All Free Quality Improvement Sessions to be Offered in 2015
01/27/15 Professional Medicare Advantage Incentive News
01/23/15 Professional Eight Chemotherapy Drugs To Require Authorization, Effective March 30, 2015
01/23/15 All CMS Update On Pre-Service Organization Determinations For Medicare Advantage Members
01/09/15 All 'What's Up Wednesday' ICD-10 Teleconference Scheduled For January 21, 2015

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Last updated on 10/17/2017 10:44:16 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.