Provider News - Bulletins & FAQs
2025
- CMS RADV Audit, Payment Year 2019: We May Request Medical Records, July 2025
- Complementary Health Assessments Offered to Commercial Plan Members, July 2025
- Risk Adjustment Data Validation Audit will Require Medical Records, June 2025
- Provider Appeal Changes: Services No Longer Eligible for Provider Appeal Reviews, June 2025
- Mandatory Prior Authorization Process for Certain Designated Hospital Outpatient Procedures Effective October 1, 2025 - Site of Care Review Process, May 2025
- Important Reminder: Keep Your Profile Current to Stay in Our Provider Directories, May 2025
- Utilization Management Call Center Changes, April 2025
- Risk Adjustment Medical Record Requests FAQs, March 2025
- Important Update on Appointment Availability and Wait Time Requirements in 2025, January 2025
- Time to Update or Verify Your Information to Stay in Our Provider Directories, January 2025
2024
- Teladoc No Longer In Network for Medicare and myBlue Members Starting in January 2025, December 2024
- Commercial Risk Adjustment Call for Medical Records, October 2024
- Under 65 Open Enrollment Starts on November 1 for Individuals and Families, October 2024
- Please Refer Members to Quest Diagnostics for Lab Services, August 2024
- Policy Update for PT Assistant and OT Assistant Services, July 2024
- Telehealth & In-Home Assessments Offered to Commercial Members, July 2024
- Prior Authorizations: New Email Address for Medicare Member Photos, July 2024
- Time to Update Your Info to Remain in Our Provider Directories, July 2024
- Commercial Risk Adjustment Data Validation Calls for Medical Records, June 2024
- D-SNP Basic Training for Med Adv HMO Provider Groups, April 2024
- Important Reminder for Physicians: Keep Your Information Up to Date in CAQH, February 2024
- New Appointment and Wait Time Availability Guidelines Added to Manual for Physicians and Providers, January 2024
2023
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CMS Diagnosis Coding Updates Vital to RADV Program, December 2023
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Florida Blue Medicare Risk Adjustment Best Practices and Coding Educational Guide, 2023
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Health Assessments offered to Select Commercial Members, July 2023
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D-SNP Basic Training Required for Medicare Advantage HMO Provider Groups, June 2023
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Commercial Risk Adjustment Data Validation Calls for Medical Records, June 2023
- Attn: NetworkBlue Providers, BCBS's Nat'l High-Performance Network Reminders Update, April 2023
- Changes to Streamline Prior Authorization for Continuous Glucose Monitors and Supplies, March 2023
- Number of Referral Visits Increase for BlueMedicare HMO, February 2023
- Call for Acupuncturists to Join Provider Network for Commercial Lines of Business, February 2023
- Supporting Behavioral Health in Your Practice, January 2023
2022
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Medicare Beneficiary ID Now Displayed in Availity, December 2022
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2022 Medical Record Review Results Now Available, December 2022
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Attn PCPs: Improved Referral Search Results for Specialists, October 2022
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New Telehealth Services Field in Self-Service Tool, September 2022
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Clinical Quality Validation Form to Retire This Year, September 2022
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Changes to Streamline Prior Authorizations for Unclassified Drug HCPCS, July 2022
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Improving E&B Transactions with New Member ID Card Display, July 2022
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Commercial Risk Adjustment Data Validation Calls for Medical Records, July 2022
- Referral Length Increased for myBlue and BlueMedicare HMO Plans, June 2022
- Provider Contact Center Hours of Operation Update, June 2022
- Blue Cross and Blue Shield’s National High-Performance Network Reminders, May 2022
- APRNs Serving as PCPs, May 2022
- Some ASCs Can Now Perform Cardiac Cath Lab Services, April 2022
- Spring Risk Adjustment Medical Record Audit, March 2022
- CMS Audit to Identify Improper Medicare Advantage Payments, January 2022
- Availity message for authorizations and referrals, January 2022
2025
- Availity Essentials Enhancement for Submitting Medicare Part D Vaccination Claims, April 2025
- Revision to Policy Update: Telemedicine Evaluation and Management Services, April 2025
- Attn: Home Health Care Providers, Medicare Billing Guideline Updates, April 2025
- Reminder of Policy Update and Coding Edit for Bilateral Procedures Professional Billing, January 2025
2024
- Important Updates to Medicare Part B Drug Prior Authorization HCPCS Codes, December 2024
- Reminder About the Social Determinants of Health Dashboard in ProviderVista, July 2024
- Part B Drug Prior Authorization Code Updates for Medicare Advantage Members, May 2024
- Evolent Prior Authorization Programs' Code Updates for Medicare Advantage Members, May 2024
- Submitting Initial and Corrected Claims, May 2024
- Availity Gateway Updates to Improve Processing Experience, April 2024
- Policy Updates and Coding Edits for Multiple Diagnostic Imaging, Cardiovascular, and Ophthalmology, Effective May 1, 2024, March 2024
2023
- Importance of CPT II Codes and Review of Prenatal and Postpartum CPT II Codes, October 2023
- New Century Health to Manage Cardiovascular Services for Medicare Advantage Members, September 2023
- Commercial HMO Plans’ Occupational, Physical, & Speech Therapy Referral and Authorization Requirements, August 2023
- Update: myBlue HMO Plan Highlights to Help Reduce Claims, Coding Errors, August 2023
- HCPCS Required in Claims with Certain Implant or Device Revenue Codes
- Availity Upgrades to Claims Submission Responses, E&B Information, July 2023
- Update on Submitting Supplemental/Additional Diagnoses, June 2023
- Send Corrected Claim for Late Charge Only Claims, June 2023
- Rehabilitative and Habilitative Services: How to Bill for Each, May 2023
- CPT II Codes to Use for ACP, BP, COA, EED, and TRC MRP, March 2023
- myBlue HMO Plan Highlights to Help Reduce Claims, Coding Errors, March 2023
- COVID-19 Billing Guidelines, February 2023
- Claims System Update Addresses MA Patient Liability, January 2023
2022
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No Surprises Act General Details and Resources, December 2022
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Updates to Availity Gateway Improves Processing Experience, August 2022
- CPT II Codes to use for A1c, ACP, BP, COA, DRE and MR, August 2022
- Coding & Documentation Spotlight on Social Determinants of Health, June 2022
- 2022 POS Billing Code Changes for Telehealth to Impact Fee Schedules, March 2022
- Procedure Code Change for Billing Behavioral Health Evaluation and Management Services, January 2022
2023
2022
2023
2022
2024
- D-SNP Basic Training for Med Adv HMO Provider Groups, November 2024
- Policies Preventing Medicare Advantage Fraud, Waste, and Abuse, October 2024
- D-SNP Basic Training for Med Adv HMO Provider Groups, Sept 2024
- D-SNP Basic Training for Med Adv HMO Provider Groups, April 2024
- CMS to Conduct National Audit to Identify Improper Medicare Advantage Payments, January 2024
2023
- Reminder for MA Providers: Review Policies for Preventing Medicare Fraud, Waste & Abuse, October 2023
- D-SNP Basic Training Required for Medicare Advantage HMO Provider Groups
2022
2025
- CAHPS Survey: Improving Patient Satisfaction and Outcomes, July 2025
- Register to Attend Florida Blue’s Next HEDIS Innovations Webinar on July 29, June 2025
- Use of Imaging Studies for Low Back Pain, June 2025
- Promoting Children's Health Through Childhood Immunization Status, April 2025
- Help Reduce Breast, Cervical, and Colorectal Cancer Risk Through Prevention, April 2025
- Register to Attend Florida Blue’s Next HEDIS Innovations Webinar on April 29, March 2025
- FEP Pregnancy Incentive Program, March 2025
- Quick Access, Quality Care. Emphasizing the Importance of Prompt Access to Visits, February 2025
- Follow Up Matters: Closing the Gaps in Emergency Care, January 2025
- CAHPS Survey: Enhancing Your Patients’ Experience, January 2025
- New Postal Employee Member ID Cards for Blue Basic, Standard, and Blue Focus, January 2025
2024
- Asthma Medication Ratio, October 2024
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Patient Experience Matters for Your CAHPS Survey Results, October 2024
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Sign Up for Florida Blue's Next HEDIS Innovations Webinar on October 29
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Antibiotic Awareness for Acute Bronchitis/Bronchiolitis, August 2024
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New Member ID Cards for FEP Blue Basic and Blue Standard Options, July 2024
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You Can Help Improve Your Patients’ Health Care Experience, July 2024
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Promoting Children’s Health via Childhood Immunization Status (CIS), June 2024
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Register to Attend Florida Blue’s Next HEDIS Innovations Webinar on July 30, June 2024
- Encouraging Breast Cancer Screening for Members, April 2024
- CAHPS Survey: Help Improve Your Patient's Experience, April 2024
- Pregnancy Care Incentive Program for FEP Members, March 2024
- Register to Attend Florida Blue’s First HEDIS Innovations Webinar on April 23 Hosted by FEP, March 2024
- CPT II Codes Provide Valuable Member Health Information, March 2024
- Educating Members on Emergency, Non-Emergency, and Urgent Care Use, February 2024
- Advocating Antidepressant Medication Adherence, January 2024
- Promoting Statin Medication Adherence in Patients With Cardiovascular Disease, January 2024
- Encouraging Follow-Up Reviews After Emergency Department and Other Visits, January 2024
- CAHPS Survey: You Can Help Improve Your Patients’ Health Care Experience, January 2024
2023
- New Member ID Cards for FEP Blue Focus, December 2023
- Antibiotic Awareness Week is November 18 - 24, November 2023
- Helping Patients Control Blood Pressure with Healthy Choices, October 2023
- Helping Patients Maintain a Good Childhood Immunization Status, September 2023
- Flu Shot Reminder Could Influence Patients’ CAHPS-Survey Response, September 2023
- Federal Employee Program Use of Imaging Studies for Low Back Pain (LBP), August 2023
- FEP - Hemoglobin A1c Control for Patients with Diabetes (HBD), July 2023
- Encouraging Breast Cancer Screening for FEP Members, July 2023
- Reminding FEP Members of Options When Seeking Non-Emergency Medical Care, July 2023
- CAHPS Survey: You Can Make a Difference in Your Patients’ Satisfaction, July 2023
- Colon Cancer Screening FEP Member Incentive Program, April 2023
- CAHPS Survey: Make a Difference in Your Patients’ Satisfaction, April 2023
- Pregnancy Care Program for FEP Members, January 2023
- CAHPS Survey: You Can Make a Difference in Your Patients' Experience, January 2023
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HEDIS Measure: Statin Therapy for Patients with Cardiovascular Disease, January 2023
2022
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Antibiotic Awareness Week (November 18-24, 2022), November 2022
- CAHPS Survey: You Can Make A Difference in Your Patients' Health Care Experience, October 2022
- CPT II Codes to Close Patient Care Gaps, June 2022
- Encouraging Breast Cancer Screening for FEP Members, June 2022
- Follow Up After Emergency Department Visit For Mental Illness , June 2022
- CAHPS Survey: Boost Your FEP Patients’ Satisfaction, June 2022
- Encouraging Colon Cancer Screening for FEP Members, May 2022
- FEP CAHPS Survey: You can make a difference in your patient's satisfaction, February 2022
2024
2023
- Commercial HMO Plans’ Occupational, Physical, & Speech Therapy Referral and Authorization Requirements, August 2023
- Update: myBlue HMO Plan Highlights to Help Reduce Claims, Coding Errors, August 2023
- Help for Those Losing Medicaid or CHIP Benefits
2022
- Finding myBlue Product Information in Availity, January 2022
- Finding myBlue PCP Information in Availity, January 2022
2022
2025
- Updates to Medicare Part B Step Therapy Program, April 2025
- New Process for Viscosupplements, March 2025
- CMS to Conduct Audit to Identify Improper Medicare Advantage Payments
- New Categories for Medicare Advantage Part B Step Therapy, December 2024
2024
- Medicare Health Plan Changes for 2025, November 2024
- New BlueMedicare PPO Policy for Diabetes Glucose Monitors & Supplies, October 2024
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Part B Step Therapy Updates for Medicare Members, October 2024
- Part B Step Therapy Updates for Medicare Members, April 2024
2023
- Modivcare is the New Transportation Vendor for Florida Blue Medicare Advantage D-SNP Members, November 2023
- BlueMedicare Health Plans are Expanding in 2024, October 2023
- Number of Referral Visits Increase for BlueMedicare HMO, February 2023
- CMS to Conduct National Audit to Identify Improper Medicare Advantage Payments, January 2023
2022
2025
2024
- A Thank You to Physicians, Celebrating You on National Doctors' Day, March 2024
- Self-Service Resources to Alleviate Recent Disruptions, February 28, 2024
2023
- Florida Blue, GuideWell Release Annual Impact Report, April 2023
- National Doctor's Day is March 30! We Celebrate You! March 2023
2022
2025
- Hurricane Seasons Starts June 1
- Important Reminders During Natural Disasters or a State of Emergency, January 2025
2024
- Notice to Providers Regarding Relaxations for Hurricane Milton Ending, October 2024
- Updated Information for Providers and Members Affected by Hurricane Milton, October 2024
- Prior Authorization and Important Updates for Members Affected by Hurricane Milton, October 2024
- Hurricane Season Begins June 1
2023
2022
- Prior Authorization and Important Updates for Florida Blue, Florida Blue Medicare, and Truli Patients Affected by Hurricane Ian, September 2022
- Important Information for Florida Blue, Florida Blue Medicare, and Truli Patients Affected by Hurricane Ian, September 2022
- It Is Hurricane Season. Important Guidelines to Know, June 2022
2025
- Commercial and Other Pharmacy Program Updates Effective July 1, June 2025
- In-Network Specialty Pharmacies Update, April 2025
- Limited Distribution and Specialty Pharmacy Network Updates Effective April 1, March 2025
- New Process for Viscosupplements, March 2025
- Commercial and Other Pharmacy Updates Effective April 1, 2025, March 2025
- GLP-1 Prior Authorization Requirement for Commercial Plans Effective April 1, 2025, January 2025
- Important Update About Ophthalmic Drug (Avastin) for Medicare Advantage Providers, January 2025
2024
- Reminder of In-Network Specialty Pharmacies, December 2024
- Genoa Pharmacy Now In-Network for Dispensing and Administering LAI Drugs, December 2024
- Best Practices for Submitting Pharmacy Prior Authorization Requests, December 2024
- Commercial and Other Pharmacy Updates Effective Jan. 1, 2025, December 2024
- Removal of Some Medications from Condition Care Rx Program, November 2024
- Important Update About Ophthalmic Drug (Avastin) for Medicare Advantage Providers, November 2024
- Commercial and Other Pharmacy Program Updates, Effective October 1, 2024, September 2024
- Help Your Patients Save Money at the Pharmacy With Real-Time Benefit Check, August 2024
- Biosimilars First Required Before Neulasta/Neulasta OnPro Brands for Commercial Plans as of October 1, August 2024
- Genoa Pharmacy Now In-Network for Long-Acting Injectable Drugs, July 2024
- Commercial and Other Pharmacy Program Updates, Effective July 1, 2024, June 2024
- Update: What You Need to Know About GLP-1 Drug Coverage, April 2024
- Commercial and Other Pharmacy Program Updates Effective April 1, 2024, March 2024
2023
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Part B Step Therapy Updates for Medicare Advantage, December2023
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Winn Dixie Pharmacy Closure for Commercial, Medicare, and Truli Plans Effective Now, December 2023
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Best Practices for Submitting Pharmacy Prior Authorization Requests, December 2023
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Commercial and Other Pharmacy Program Updates Effective January 1, 2024, November 2023
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Important Update about Ophthalmic Drug (Avastin) for Medicare Advantage Providers, October 2023
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What You Need to Know About Coverage for GLP-1 Drugs, November 2023
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Commercial and Other Pharmacy Program October 1 Updates, September 2023
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Part B Step Therapy Updates for Medicare Advantage, May 2023
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July 1 Commercial & Other Pharmacy Program Updates, May 2023
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2023 Fee Schedule Changes for Certain J and Q Code Drugs, May 2023
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Updated -- Prior Authorization Streamlined for Continuous Glucose Monitors, Supplies, May 2023
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100-Day Supply Prescriptions Help Your Medicare Patients, May 2023
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Additional Considerations for Pharmacy Prior Authorizations, February 2023
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Refresher on Submitting Pharmacy Prior Authorization Requests, January 2023
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Opioid Crisis & Life-Saving Medication: Web Resources Now Available, January 2023
- Part B Step Therapy Changes Affect Medicare Advantage Members, January 2023
2022
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Important Medicare Information for Insulin and Adult Vaccine Coverage, December 2022
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Generic Rx Extended Day Supply to Increase for Medicare Advantage Members, December 2022
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New Process to Fill BlueMedicare Diabetic Maintenance Prescriptions, December 2022
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Shortages May Continue for Amphetamine/Dextroamphetamine Salt Tablets, October 2022
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Amazon Pharmacy Home Delivery Begins January 1 for Florida Blue, Truli, October 2022
- New-to-Market Program for Provider-Administered Medications, June 2022
- Commercial and Other Pharmacy Updates, June 2022
- Retacrit Supply Disruption Expected, May 2022
- How to Prevent Denials for Provider-Administered Buy and Bill Drug Claims, April 2022
- Amazon Pharmacy Now Available as Home Delivery Service, March 2022
- Commercial and Other Pharmacy Program Updates, March 2022
2025
- Availity URL Change: New Address for Essentials Login, June 2025
- Enhance Patient Care with the Medication Management Tool, May 2025
- Availity Update: Authorizations Entry Option Replaces Manual Provider Information Entry, April 2025
- Clinical Attachments Feature for Authorizations in Availity Essentials, April 2025
- Valuable Insights Available in Your Summary Dashboard, March 2025
- myBlue Medical Loss Ratio Filter Added to ProviderVista, February 2025
- Availity Essentials Referral Request Tool Enhancement: Change to Single Code Submission, January 2025
2024
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Provider Portal Delivers Customized and Other Communications, October 2024
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ProviderVista Updates: Summary Dashboard and VB Roster, October 2024
- Florida Blue Prior Authorization Enhancement in Availity, July 2024
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Medication Management View Updates in Provider Portal, June 2024
- Reminder About the Social Determinants of Health Dashboard in ProviderVista, July 2024
- Self-Service Resources to Alleviate Recent Disruptions, February 2024
- How to Manage Your Provider Record in the GuideWell Portal, January 2024
2023
- Enhanced Medication Features Now Available on Our Commercial and Medicare Provider Portals, December 2023
- Attention Passport Users: Passport is Retiring. Its Tools will Migrate to Provider Portal, November 2023
- Update: Acupuncture Benefits Displayed in Availity E&B Tool, November 2023
- Care Programs Filter, Export, and More, November 2023
- Latest Portal Updates: Facilities by Events and Triggers, September 2023
- Provider Portal Access Will Pause Until Profile is Validated, September 2023
- Care Programs Now Displayed in Provider Portal, September 2023
- Availity Updates to Reduce Holds on Stroke Claims, August 2023
- When and How Acupuncture Benefits Display in Availity's E&B Tool, August 2023
- Provider Portal Census and Coding Opportunities Updates for Commercial and Medicare Patient Data, July 2023
- Self-Service Tool for Updating Provider Record Now Managed in Guidewell Portal, July 2023
- Availity Upgrades to Claims Submission Responses, E&B Information, July 2023
- Create Care Program Referrals on the ProviderVista Platform, June 2023
- New Template Feature Added to Availity Authorization and Referral Screens, May 2023
- Provider Link Behavioral Health Indicators, April 21, 2023
- Create Care Program Referrals on the ProviderVista Platform, April 2023
- Social Determinants of Health on ProviderVista, April 2023
2022
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Enhancements to the Census Page in ProviderVista and Provider Link, December 2022
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ProviderVista, Provider Link Updates to Roll Out Through the End of 2022. November 2022
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Provider Link Update Brings You More Information and Insight, September 2022
- Attn PCPs: Improved Referral Search Results for Specialists, October 2022
- New Telehealth Services Field in Self-Service Tool, September 2022
- Clinical Quality Validation Form to Retire This Year, September 2022
- Keep Your Profile Information Current to Stay Listed in Our Provider Directories, May 2022
- Provider Link Updates: Coding Opportunities and Care Gap Exports, June 2022
- Provider Link, New Feature: You've Got Mail, June 2022
- New Member/AWV Enhancement, May 2022
- ProviderVista: Enhancements to Exports Underway, April 2022
- New Feature Added in Provider Link, March 2022
- Verify or Update Your Profile Information to Stay in Our Online Provider Directories, March 2022
2025
2024
2023
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Local Spread of Dengue Fever Occurring in Florida, October 2023
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Florida Department of Health Issues Mosquito-Borne Illnesses Advisory, July 2023
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End of Public Health Emergency: Medicare Advantage Plans Returning to Standard Benefits, April 2023
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End of Public Health Emergency: Florida Reinstating Medicaid Status Review, April 2023
- COVID-19 Billing Guidelines, March 2023
- COVID-19 Public Health Emergency Expected to End Soon, March 2023
- Select Monoclonal Antibody Treatment No Longer Authorized, February 2023
- COVID-19 Billing Guidelines, February 2023
- COVID-19 update, January 2023
2022
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Reminding Patients There Is Still Time to Get Their Flu Shot, November 2022
- COVID-19 update, September 2022
- Important Update: Monoclonal Antibody Treatment, September 2022
- It Is That Time of Year: Remind Patients to Get Their Flu Shots, September 2022
- Monkeypox update , August 2022
- Important Update: Monoclonal Antibody Treatment, July 2022
- COVID-19 update, April 22, 2022
- COVID-19 update, January 28, 2022
- Certain Monoclonal Antibody Treatments Halted, January 2022
- Important Update Regarding Monoclonal Antibody Treatment for High-Risk COVID-19 Patients, January 2022
2025
- Transitions of Care: Inpatient Notification and Discharge Information Best Practices
- Register to Attend Florida Blue’s Next HEDIS Innovations Webinar on July 29, June 2025
- Health Outcomes Survey: Tips to Help Your Patients, June 2025
- Keeping Your Patients Healthy Through the HPV Vaccine, April 2025
- Register to Attend Florida Blue’s Next HEDIS Innovations Webinar on April 29, March 2025
- Prompt Access to Visits is Important to Your Patient’s Experience and CAHPS Results, March 2025
- Every Reading Counts: Your Contribution to Better Blood Pressure Outcomes, February 2025
- Statins for Patients with Diabetes and Cardiovascular Disease, January 2025
- Provider Post-Office Visit Survey Paused, January 2025
2024
- 2024 Medical Record Review Results, December 2024
- HEDIS Minimum Documentation Guide for Measurement Year 2024, October 2024
- Urge Your Patients with Diabetes to Complete Their Annual Eye Exam, October 2024
- Improve Health Outcomes: HEDIS AAB, CWP, LBP, URI, October 2024
- End-of-Year HEDIS Deadlines, October 2024
- Access Policies, Quality Program Information Online, October 2024
- Encouraging Your Patients to Complete Preventive Health Screenings, July 2024
- Coding Newsletter – Alzheimer’s, June 2024
- Health Outcomes Survey: Tips to Help Your Patients, June 2024
- Coding Newsletter – ICD-10-CM Updates, April 2024
- Register to Attend Florida Blue’s Next HEDIS Innovations Webinar on July 30, June 2024
- Antidepressant Medication Management (AMM) Measure Bulletin and FAQs, May 2024
- Coding Newsletter – Arthritis, May 2024
- Register to Attend Florida Blue’s First HEDIS Innovations Webinar on April 23 Hosted by FEP, March 2024
- Coding Newsletter – Annual Wellness Visit, March 2024
- Coding Newsletter – New CMS-HCC Model V28 Perinatal and Congenital Codes, February 2024
- Coding Newsletter – Medicare Advantage Coding Tips from the OIG Toolkit, January 2024
2023
- 2023 Medical Record Review Results Now Available, December 2023
- HEDIS Deadlines for Measurement Year 2023, December 2023
- HEDIS Minimum Documentation Guide for Measurement Year 2023, December 2023
- Coding Newsletter – Angina Pectoris, December 2023
- Coding Newsletter – Chronic Obstructive Pulmonary Disease, November 2023
- How to Access Quality Program Information Online, November 2023
- ICD-10-CM Coding Updates for FY 2024, October 2023
- Coding Newsletter – Chronic Kidney Disease, September 2023
- Supporting Patient Response to HOS Survey, August 2023
- Coding Newsletter -- Lung Cancer, August 2023
- Coding Newsletter – Peripheral Vascular Disease, July 2023
- Coding Newsletter – Sickle Cell Disease, June 2023
- Coding Newsletter – Annual Wellness Visit, May 2023
- Coding Newsletter – CMS-HCC Model (V28), April 2023
- Tips for CAHPS Success Are Available, April 2023
2022
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How to Access Quality Program Information Online, December 2022
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HEDIS Minimum Documentation Guide for Measurement Year 2022, December 2022
- QRPM Coding Newsletter -- Diabetes, September 2022
- Upcoming Member Health Outcomes Survey: You can Make a Difference, August 2022
- QRPM Coding Newsletter – Chronic Kidney Disease, July 2022
- QRPM Coding Newsletter - Telehealth Documentation and Coding, June 2022
- QRPM Coding Newsletter - Peripheral Vascular Disease, May 2022
- CAHPS and HOS: Your Patient's Experience Matters, May 2022
- QRPM Coding Newsletter - Congestive Heart Failure, April 2022
- QRPM Coding Newsletter - Morbid Obesity, March 2022
- Comprehensive HEDIS and Documentation Coding Guide 2022, March 2022
- HOS Survey Tips for Success, April 2022
- QRPM Coding Newsletter - Social Determinants of Health, February 2022
- We May Be Requesting Your Florida Blue Member Records, January 2022
- QRPM Coding Newsletter - Annual Wellness Visit
2025
- Supporting the HEDIS Transitions of Care Measure, May 2025
- Important Details About 2025 Medicare Star Measures: Poly-ACH and COB, March 2025
- 2025 Medicare Advantage Provider Quality Bonus Program, March 2025
- Improve Patients’ Experience: Five Actions to Enhance Care, Raise CAHPS Results , February 2025
2024
- Post Provider Visit Survey Results Monthly Report: Star Score Alignment and Thresholds, July 2024
- LetsGetChecked to Assist with Medicare Advantage Colorectal Cancer Screening, May 2024
- Medicare's Annual Wellness Visit, February 2024
- 2024 Medicare Advantage Annual Wellness Visit Provider Bonus Program, February 2024
- 2024 Medicare Advantage Provider Quality Bonus Program
2023
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Diabetes Screening May Help Patients on Antipsychotic Drugs, November 2023
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CPT II Coding Spot Bonuses Now Through December, October 2023
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2022 Medicare Stars Provider Quality Bonus Payment and Results, July 2023
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Provider Best Practices Toolkit for CAHPS/HOS for 2023, May 2023
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2023 Stars Med Adv Provider Quality Bonus Terms & Conditions, February 2023
2022
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HEDIS Measure Links Medications for Older Adults to Diagnosis, October 2022
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Diabetes Screening May Help Patients on Antipsychotic Drugs, October 2022
- Upcoming Member Health Outcomes Survey: You can Make a Difference, August 2022
- Stars Medicare Adv Quality Provider Bonus Results and Payment, June 2022
- CAHPS and HOS: Your Patient's Experience Matters, May 2022
- Medicare Stars Best Practices for 2022, March 2022
- 2022 Medicare Adv Provider Quality Bonus Program Terms & Conditions, February 2022
2025
- Change in Medicare Post Acute Care Program Management, June 2025
- Utilization Management Call Center Changes, April 2025
2024
- Changes to Medicare Advantage Hip, Knee, and Spine Care Utilization Management Programs, December 2024
- EMI Reminders for Referrals and Authorizations, December 2024
- Update to the Advance Care Planning Program, October 2024
- Part B Drug Prior Authorization Code Updates for Medicare Advantage Members, May 2024
- Evolent Prior Authorization Programs' Code Updates for Medicare Advantage Members, May 2024
- Advance Care Planning Program Update, May 2024
- Update : Living Well Program for Advanced Care and Planning, May 2024
- Part B Step Therapy Updates for Medicare Members, April 2024
- Part B Step Therapy Updates for Medicare Members, March 2024
- Cardiology Management Program for Med Adv Member Updated FAQs, February 2024
2023
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Cardiology Management Program for Med Adv Member FAQs, November 2023
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New Century Health to Manage Cardiovascular Services for Medicare Advantage Members, September 2023
2022
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Certain Authorization Requests Will Redirect to Olive as of December 1, 2022
- Changes Coming to Medicare Advantage Radiology Utilization Management, September 2022
- Changes Are Coming for Our Radiology Utilization Management Program, May 2022
- Changes Are Coming for Our Musculoskeletal Care Management Program, May 2022
- Olive Technology Will Improve Authorization Process for Hip and Knee Surgeries, March 2022
FBC PROVIDER NF