Provider News - Bulletins & FAQs
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
2021
- New Payer ID for Florida Blue Medicare, October 2021
- Information for Your Patients Who Ask About 2022 Marketplace Health Plans, October 2021
- Learn How Cotiviti Analytics Can Help Your Practice Provide Value-Based Care, October 2021
- Availity's E&B Tool to Display Member ID Cards, October 2021
- Here Is a Reminder About Health Assessments for Our Members, September 2021
- Quality Performance Now Available in ProviderVista, September 2021
- Open Enrollment Starts Soon for Individuals and Families, September 2021
- Fall Campaign Kickoff for Medical Records Request, September 2021
- 2021 Medical Record Review Results Now Available: Compliance Score Increases, August 2021
- GuideWell to Acquire Puerto Rico’s Blue Cross and Blue Shield Plan, August 2021
- Referring to In-Network Labs Is Important for Your Patients, July 2021
- New Options Help Manage Medical Records Requests, July 2021
- Records Request and Medical Attachments Tool Q&A, July 2021
- Health Assessments Offered to Florida Blue Commercial Members, July 2021
- Online Provider Directory Labels are Changing for ACOs and PCMHs, June 2021
- Do You Participate in Your Patient's Network?
- Time to Verify or Update Your Florida Blue Provider Directory Profile Information – Due by June 30! June 2021
- Earn CEUs for Attending Free Applied Behavior Analysis (ABA) Webinar, May 2021
- Out with the Legacy Claim Status Function, In with Availity’s All Payer Application, May 2021
- May Updates to Availity Gateway Improve Processing Experience, April 2021
- The Enhanced Referral Tool – a Useful and Time-Saving Application on Availity, April 2021
- Time to Update/Verify Your Provider Directory Profile Information, March 2021
- Risk Adjustment Medical Record Delivery Options, March 2021
- We Know You Are Looking for 2021 Fee Schedules, January 2021
- Availity Redesign Smooths Authorization Referral Process, January 2021
2020
- Availity Gateway Update Enhances Claim Processing Experience, December 2020
- Time to Verify/Update Your Provider Directory Profile Information, December 2020
- Good News: Florida Blue Resumes Normal Operations of Provider Contact Center, September 2020
- Verify/Update Your Provider Directory Profile Information Now, September 2020
- Important Reminders about Contacting Medicare Advantage Pre-certification Department, August 2020
- Electronic Medical Records System Streamlines and Reduces Your Efforts for RADV and Quality Audit, August 2020
- Enhanced Referral and Medical Attachment Tools in Availity Save Time, August 2020
- Advance Directives and Living Wills: A Medical Record Necessity, July 2020
- D-SNP Basic Training for Medicare Advantage HMO Providers, July 2020
- Please Refer Members to Quest Diagnostics for Lab Services, April 2020
- Time to Update Your Profile for Our Directories, March 2020
- You’ll Hear Soon from LexisNexis Risk Solutions About Your CMS Attestation, February 2020
- Telephonic Provider Data Verification Is Underway, January 2020
- Time is Almost Out for OB-GYN - Oncology Provider Survey, January 2020
- Reminder to Complete OB/GYN and Oncology Provider Appointment-Access Survey, January 2020
- Physician Service Locations Now Limited to Four in Online Directory, January 2020
- Appointment-Access Survey for OB/GYNs and Oncologists, January 2020
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
2021
- myBlue HMO Plan Highlights to Remember to Help Reduce Claims/Coding Errors, September 2021
- These Three New Features Make It Easier to Use Availity, September 2021
- Submitting Claims with Additional/Supplemental Diagnoses, September 2021
- Covid-19 Update: Guidelines for Vaccine Billing
- Coding and Documentation Spotlight: Social Determinants of Health (SDOH), March 2021
2020
- COVID-19 CPT Update, November 2020
- New Payer ID for Medicare Advantage, November 2020
- Enhanced Electronic Appeals Capability Improves Provider Experience, October 2020
- Home Health Billing Guidelines for Trad'l Medicare & Non-Par Providers in Med Adv, September 2020
- Attention Coders: Earn Credits with Our Free On-Demand Webinars, September 2020
- Medicare Advantage 2020 Documentation and Coding Guide, May 2020
- Updates to CPT II Codes for A1c and DRE, January 2020
2022
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BCBS Global Plans Provide Members with Medical Services in U.S. via BlueCard, November 2022
- NYC Medicare Advantage Plus Implementation Update, March 2022
- BC Canada Members Access U.S. Coverage via BlueCard, February 2022
- NYC Medicare Advantage Plus Plan, January 2022
2021
- Anthem City of NY Retiree Plan Change Effective New Year, November 2021
- Med Adv PPO Network Sharing Frequently Asked Questions, July 2021
2020
2022
- How to Access Quality Program Information Online, December 2022
- Health Assessments Offered to Commercial Patients Who May be at Risk for Chronic Conditions, August 2022
- Medicare Adv Care Services Available at No Extra Cost, June 2022
- Advanced Care Planning Update, May 2022
- PopHealthCare In-Home Services Rebranded as Emcara Health, March 2022
2021
- New Directions Expands Behavioral Health Support for Members Seeking Care from ED, July 2021
- Care Managers Help Patients Navigate Difficult Times, April 2021.
- New Care Management App Connects Patients to Personalized Health Support, February 2021
- Advance Care Planning Program Expands to Include Integrated Care Delivery for Patients with Serious Illnesses, January 2021
2020
- Care Management Supports You and Your Patients, December 2020
- New Congestive Heart Failure Care Program for Medicare Part D Premier Rx Members, December 2020
- Care Managers Support Your Patients Recovering from COVID-19 in a Variety of Ways, September 2020
- Care Management Support Now More Important than Ever, July, 2020
- We're Encouraging Members with Chronic Conditions to Follow Guidelines, Get the Care They Need, April 2020
2022
2021
- Reminder for MA Providers: Review Polices for Preventing Medicare Fraud, Waste & Abuse, November 2021
- CMS Requires All Providers and Suppliers to Retain Records, May 2021
- CMS Rule Provides Consumers Access to Protected Health Information Using Mobile Applications, March 2021
- CMS Audit for Improper Med Adv Payments May Result in Medical Record Requests, March 2021
2020
- Compliance Scores Increase in 2020 Medical Records Review, November 2020
- Review Policies for Preventing Medicare Fraud, Waste and Abuse, October 2020
- CMS Requires Providers and Suppliers to Retain Medicare Advantage Records for 10 Years, June 2020
- CMS Conducts Audit to Identify Medicare Advantage Overpayments, February 2020
- CMS Conducts Risk Adjustment Data Validation Audit, January 2020
2023
- Pregnancy Care Program for FEP Members, January 2023
- CAHPS Survey: You Can Make a Difference in Your Patients' Experience, January 2023
2022
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HEDIS Measure: Statin Therapy for Patients with Cardiovascular Disease, January 2023
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HEDIS Measure: Follow Up After Emergency Department Visit for Mental Illness, January 2023
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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
2021
- Special Enrollment Period for Individual Health Coverage, March 2021
- Finding myBlue Product Information in Availity, January 2021
- Finding myBlue PCP Information in Availity, January 2021
- myBlue Quality and Efficiency Reporting Portal (QERP), January 2021
2020
- Behavioral Health Services for myBlue Members, December 2020
- myBlue In-Office Lab Services, December 2020
- Important Reminders for myBlue Primary Care Physicians, December 2020
- Important Reminders for myBlue Specialists, December 2020
- Help Your Patients Keep Costs Down, December 2020
- Help Your Patients Maximize Their Benefits, December 2020
- myBlue Member ID Card, December 2020
- Refer myBlue Members to In-Network Labs, December 2020
- myBlue is Expanding to Additional Counties in 2021, December 2020
- How to Help Your Patients Who Ask About Marketplace Health Plans, October 2020
- Do Not Miss Out on Potential Patients By Having Wrong Address Listed, July 2020
- Don’t Exclude Marketplace Members, January 2020
- Marketplace Health Plans (myBlue, BlueCare HMO, BlueOptions, BlueSelect)
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
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BlueMedicare Health Plans Are Expanding in 2023, October 2022
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CMS National Audit to Identify Improper Medicare Advantage Payments, January 2022
2021
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Prior Authorization Updates in the Provider Manual, December 2021
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Livongo Hypertension Pilot Program for Medicare Advantage Members, December 2021
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BlueMedicare Health Plans Expanding to Additional Counties, October 2021
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Florida Blue Medicare Formulary Will Change in 2022, September 2021
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D-SNP Basic Training Required for Med Adv HMO Provider Groups, August 2021
2020
- Virtual Visits to be Standard Benefit for Florida Blue Medicare Advantage Members, December 2020
- Support Program Now Available for Medicare Advantage Members with Advanced Illnesses, November 2020
- Help Your Medicare Part D Patients Pay Less for Insulin, November 2020
- BlueMedicare Health Plans Will Expand to Additional Counties, November 2020
- New Payer ID for Medicare Advantage, November 2020
- Open Enrollment for Individuals and Families Starts Soon, September 2020
- Important Reminders about Contacting Medicare Advantage Pre-certification Department, August 2020
- New Utilization Management Process for Muscular/Skeletal Program Effective January 1, 2021, August 2020
- Shared Decision-Making Program Focuses on Improving Members’ Health Experience, August 2020
- D-SNP Basic Training for Medicare Advantage HMO Providers, July 2020
- Medicare Advantage 2020 Documentation and Coding Guide, May 2020
- My Health Link Online Member Account, May 2020
- Medicare Advantage and Medicare Supplement Reminders At-A-Glance, February 2020
2021
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myBlue HMO and BlueSelect Health Plans Are Expanding in 2022, October 2021
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myBlue HMO Plan Highlights to Remember to Help Reduce Claims/Coding Errors, September 2021
2020
- No current bulletins
- No current bulletins
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
- HEDIS and Stars Measures Reference Guide for 2022, May 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
2021
- 2022 Medicare Stars Ratings Released, October 2021
- Upcoming CMS Medicare Health Outcomes Survey, August 2021
- CPT II Codes to Show Patients' Care is Complete (for A1c, BP, Care of Older Adults, DRE, Microalbuminuria & MRP), August 2021
- MRP Documentation and CPT II Code FAQs, August 2021
- Select Medicare Advantage Members Receive In-Home Diabetes Screening Kits, July 2021
- Type 2 Diabetes Prevention Program Can Help At-Risk Medicare Advantage Members, May 2021
- Your Med Adv Patients' Health Care Experience Matters! Important Changes to Know, March 2021
- 2021 Medicare Advantage Provider Quality Bonus Program Information and More, February 2021
2020
- Select Medicare Advantage Members Sent Quest In-Home Diabetic Test Kits, November 2020
- CAHPS & HOS: Your Patients' Experience Matters More than Ever, August 2020
- CPT II Codes to Close Select Care Gaps, July 2020
- iCare Simplifies Diabetic Retinal Exams for Medicare Advantage Members, July 2020
- Annual Wellness Visit Promotes Preventive Care for Medicare Advantage Patients, February 2020
- Updates to CPT II Codes for A1c and DRE, January 2020
2023
2022
- Healthy Food Benefit for Medicare/Medicaid Dual-Eligible Members with a Qualifying Condition, March 2022
- New digital tool helps your patients build resilience, February 2022
2021
- Healthy Food Benefit Available for Medicare/Medicaid Dual-Eligible Members with a Qualifying Condition, December 2021
- meQuilibrium Now Available to Most Florida Blue Members, November 2021
2020
2023
2022
2021
2020
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
2021
- Important Reminders During Natural Disasters and a State of Emergency, September 2021
- Important Information for Florida Blue and Truli Patients Affected by Tropical Storm Fred, August 2021
- Early Prescription Refills Now Allowed in Certain Counties Impacted by Tropical Storm Elsa, July 2021
2020
2023
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Changes to Streamline Prior Authorization for Continuous Glucose Monitors and Supplies, March 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
2021
- New Process for Acquiring Botox, December 2021
- Commercial and Other Pharmacy Program Updates Effective January 2022, December 2021
- Use CoverMyMeds to Submit Retail and Self-Administered Specialty Pharmacy Requests , November 2021
- Fee Schedule Change for Certain A, J, and Q Code Drugs, November 2021
- Ivermectin to Require Prior Authorization, September 2021
- Commercial and Other Pharmacy Updates October 1 2021, September 2021
- Changes in Rx Coverage for Select Drugs October 1 2021, September 2021
- Medicare Advantage Prior Authorization Update For Provider-Administered Drug Program, June 2021
- Changes in Rx Coverage for Select Drugs as of July 1, 2021, May 2021
- Commercial and Other Pharmacy Program Updates Effective July 2021, May 2021
- Fee Schedule Change for Certain J and Q Code Drugs, April 2021
- Tips for Submitting Pharmacy Prior Authorization Requests, March 2021
- Commercial and Other Pharmacy Program Updates, Effective April 1, 2021, February 2021
- Walgreens Is the Exclusive Pharmacy for myBlue, January 2021
- Reminder: New Processes for Specialty and Home-Delivery Prescriptions Began Jan. 1, 2021, January 2021
2020
- Gear Up Now for 2021 Prior Authorizations: Use CoverMyMeds to Submit Retail Pharmacy Requests, December 2020
- Use Urgent Pharmacy Requests When Patients Are at Risk, December 2020
- New Drug Coupon Process Starts Jan. 1, December 2020
- Commercial and Other Pharmacy Program Updates Effective January 2021, November 2020
- New Processes for Specialty and Home-Delivery Prescriptions Start Jan. 1, 2021, November 2020
- Tool Helps You Find Comparable, Cost-effective Drugs With the Click of a Mouse, October 2020
- Five Tips to Avoid Delays When Requesting Commercial Pharmacy Prior Authorizations, August 2020
- Help Your Patients Find Comparable, Cost-effective Drugs with the Click of a Mouse, July 2020
- Remember to Use In-Network Specialty Pharmacies, June 2020
- Faxing Pharmacy Prior Authorization Requests? Make Sure You’re Using Current Forms, May 2020
- Biosimilars Required for Select Medications for Non-Medicare Plans, March 2020
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
2021
- CMS: COVID-19 Vaccine and Monoclonal Antibody Treatment Billing Updates, December 2021
- Monoclonal Antibody Treatment Available for High-Risk COVID-19 Patients, October 2021
- COVID-19 Update, October 21, 2021
- COVID-19 Update: New ICD Code for Post-COVID-19 Conditions, October 2021
- COVID-19 Update, August 25, 2021
- Normal Member Cost Shares Resume Sept. 1, 2021, August 2021
- COVID-19 Update: Temporary Change to Oxygen Requests for COVID-19 Patients, August 2021
- Members Receive Rewards for COVID-19 Vaccine, August 2021
- Temporary Change to Admission Approval Process for Post-Acute Care, July 2021
- COVID-19 Update, April 29, 2021
- Special Alert: Important Information on Johnson & Johnson COVID-19 Vaccine, April 2021
- Flu Prevention: Encouraging Members and Communities to Protect Themselves This Flu Season, November 2021
- COVID-19 Update, Jan. 22, 2021
2020
- National Trend Reveals Alarming Decrease in Childhood Immunizations, January 2020
- A Message of Thanks from Shawn Trotter-Mitchell, Senior Vice President, Provider Network Solutions, Dec. 17, 2020
- COVID-19 Update, December 14, 2020
- COVID-19 Update, November 5, 2020
- COVID-19 Update, October 22, 2020
- Florida’s Largest Health Care Organizations Join Forces to Fight the Flu Press Release, Nov. 16, 2020
- Flu Prevention: Encouraging Members and Communities to Protect Themselves This Flu Season, October 2020
- Flu Prevention: We Are Educating Members on Why the Vaccine Is More Important Than Ever, September 2020
- COVID-19 Provider Billing Guidelines, October 20, 2020
- Good News: Florida Blue Resumes Normal Operations of Provider Contact Center, September 2020
- Care Managers Support Your Patients Recovering from COVID-19 in a Variety of Ways, September 2020
- COVID-19 Update, September 11, 2020
- COVID-19 Update, September 4, 2020
- COVID-19 Update, September 2, 2020
- Watch a personal Thank You message from Florida Blue President and CEO, Pat Geraghty, August 2020
- We Are Encouraging Our Members to Tell Their Doctor If They Test Positive for COVID-19, August 2020
- COVID-19 Update, August 27, 2020
- COVID-19 Provider Billing Guidelines, August 27, 2020
- COVID-19 Update, August 13, 2020
- COVID-19 Provider Billing Guidelines, Now Updated
- COVID-19 Update, July 30, 2020
- New Neurologic Symptoms and Mental Health Conditions May Impact COVID-19 Outcomes, July 29, 2020
- COVID-19 Updates as of July 8, 2020, Florida State of Emergency extended through Sept. 5, 2020.
- Helping You Get Patient Care Back on Track, July 23, 2020
- COVID-19 Provider Billing Guidelines, July 20, 2020
- COVID-19 Update, July 17, 2020
- COVID-19 Provider Billing Guidelines, July 15, 2020
- COVID-19 Update, July 13, 2020
- COVID-19 Update, July 8, 2020
- COVID-19 Update, July 2, 2020
- COVID-19 Update, June 25, 2020
- COVID-19 Temporary Changes Made for Certain Medical Record Requests Extended through June 30, June 18, 2020
- COVID-19 Temporary Changes Made for BlueCard Facility Claims Extended through June 30, June 18, 2020
- COVID-19 Update, June 18, 2020
- COVID-19 Update, June 4, 2020
- COVID-19 Update, May 28, 2020
- Care Management Helps Your Patients at High Risk for COVID-19 Stay Healthy and Provides Support to Those Recovering, May 2020
- COVID-19 Update, May 14, 2020
- COVID-19 Temporary Changes Made for Certain Medical Record Requests Extended through May 31, May 1, 2020
- COVID-19 Provider Billing Guidelines, May 14, 2020
- COVID-19 Temporary Changes Made for BlueCard Facility Claims Extended through May 3, May 1, 2020
- COVID-19 Update, April 30, 2020
- COVID-19 Update, April 23, 2020
- COVID-19 Update, April 17, 2020
- We're Encouraging Members with Chronic Conditions to Follow Guidelines, Get the Care They Need, April 16
- We're Warning Members About COVID-19 Scams, April 2020
- COVID-19 Update, April 10, 2020
- Temporary Changes Made for BlueCard Host Facility Claims, April 9, 2020
- COVID-19 Update, April 8, 2020
- COVID-19 Update, April 3, 2020
- COVID-19 Update, March 31, 2020
- COVID-19 Update - Temporary Changes Made for Certain Medical Record Requests, March 30, 2020
- COVID-19 Update, March 27, 2020
- COVID-19 Update - Florida Blue Transitions Claim Inquiries to Availity Self Service to Prioritize Critical Calls during COVID-19, March 25, 2020
- COVID-19 Update, March 20, 2020
- COVID-19 Update, March 17, 2020
- COVID-19 Access to Health Care Services, March 11, 2020
- CDC Info Helps You Understand and Treat COVID-19, March 4, 2020
- National Doctors Day is March 30, March 2020
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
2021
- Coding Newsletter – ICD-10-CM Diagnosis and Guideline Changes for 2022, December 2021
- ICD-10-CM Diagnosis and Guideline Changes for 2022, December 2021
- New payer ID for Florida Blue Medicare, November 2021
- Coding Newsletter - Hierarchical Condition Category (HCC), October 2021
- Coding Newsletter – Dementia Documentation and Coding, September 2021
- Coding Newsletter – Telehealth Documentation, August 2021
- Coding Newsletter – Cancer and Coding of Neoplasms, July 2021
- Coding Newsletter – Chronic Obstructive Pulmonary Disease, June 2021
- Medicare Risk Adjustment Spring Kickoff for Medical Record Requests, April 2021
- Coding Newsletter – Peripheral Vascular Disease, May 2021
- New HEDIS Tip Sheet: FMC, March 2021
- Your Med Adv Patients' Health Care Experience Matters! Important Changes to Know, March 2021
- Coding Newsletter – Congestive Heart Failure, April 2021
- Coding Newsletter – Chronic Kidney Disease, March 2021
- HEDIS Medicare Best Practices Guide for Providers, February 2021
- Coding Newsletter – Diabetes Mellitus, February 2021
- UPDATED: HEDIS Clinical Quality Validation FAQs, January 2021
- Important: We May Ask You for Florida Blue Patient Medical Records, January 2021
2020
- Coding Newsletter – Annual Wellness Visit, January 2021
- End of Year HEDIS Deadlines!, December 2020
- Access Information about Quality Programs Find Policies, Programs, Articles Online, December 2020
- Coding Newsletter – Rheumatoid Arthritis, December 2020
- Coding Newsletter – Cardiac Arrhythmia, November 2020
- Antibiotic Awareness Week, November 2020
- Coding Newsletter – Cancers and Neoplasms, October 2020
- Coding CEUs Flyer, September 2020
- Coding Newsletter - Chronic Kidney Disease, September 2020
- CAHPS & HOS: Your Patients' Experience Matters More than Ever, August 2020
- Coding Newsletter – Major Depression, Major Depressive Disorder, August 2020
- Advance Directives and Living Wills: A Medical Record Necessity, July 2020
- Coding Newsletter - Amputations, Artificial Openings and Transplants, July 2020
- HEDIS Measures Updated: Appropriate Testing for Pharyngitis (CWP) and Appropriate Treatment for Upper Respiratory Infection (URI), June 2020
- Coding Newsletter - Diabetes Mellitus, June 2020
- Medicare Advantage 2020 Documentation and Coding Guide, May 2020
- Coding Newsletter - Documentation Tips for Prevalent Conditions, May 2020
- Coding Newsletter - Annual Wellness Visit, April 2020
- Want All Your MA Patients to be Happy, Healthy and Productive? January 2020
- Time for Annual HEDIS Chart Reviews, January 2020
- Updates to CPT II Codes for A1c and DRE, January 2020
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
2021
- ProviderVista: 2021 Enhancements to Help Providers Manage Their Patients, December 2021
- Verifying or Updating Your Provider Directory Profile Information is Important, August 2021
- FAQs for Using the Secure File Transfer Portal for Medicare Members' Medical Record Requests, March 2021
2020
- Electronic Remittance Advice/835 Registration Is Moving to Availity, December 2020
- Enhanced Patient Cost Estimator Looks the Same But Offers a Better Experience, September 2020
- Verify/Update Your Provider Directory Profile Information Now, September 2020
- eCensus Retires September 2 Patient Census Now Available in Provider Portal, July 2020
- We’re Having a Freeze! Availity Provider Data Management Capabilities Unavailable June 24-July 12, May 2020
- New Availity Processing Improvements Help Decrease Claim Holds, May 2020
- Check Eligibility and Benefits First on Availity before Calling Provider Contact Center
- Time to Update Your Profile for Our Directories, March 2020
- New Features Added to Provider Link MA Population Platform, January 2020
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
2021
- Changes Coming for Hip and Knee Surgery UM Program, November 2021
- Update: Changes Coming for Cardiology and Radiation Oncology UM Programs, October 2021
- Standing Authorization Code Changes Coming for BlueMedicare, September 2021
- Temporary Change to Admission Approval Process for Post-Acute Care, July 2021
- Important Changes Coming for Cardiology and Radiation Oncology Utilization Management Programs, July 2021
- New Kidney Health Management Program for Your Med Adv Patients, April 2021
- Attn: PCPs, New Medicare Advantage Oncology & Hematology Prior Auth Program, April 2021
- Authorization Transactions Will Be Unavailable Online During the Weekend of March 26th, March 2021
- Update: New Oncology & Hematology Prior Auth Program for Medicare Adv Members, March 2021
- Advance Care Planning Program Expands to Include Integrated Care Delivery for Patients with Serious Illnesses, January 2021
- Other Blues Plans Changing Prior Authorizations, January 2021
2020
- New Care Program Supports Your Patients with Advanced Illnesses, December 2020
- Update: New Oncology and Hematology Prior Auth Program for Medicare Advantage Members, December 2020
- Support Program Now Available for Medicare Advantage Members with Advanced Illnesses, November 2020
- New Utilization Management Process for Muscular/Skeletal Program Effective January 1, 2021, November 2020
- New Oncology and Hematology Prior Auth Program for Medicare Advantage Members, November 2020
- FAQs for New Oncology Prior Auth Program for Medicare Advantage Members, November 2020
- Important Reminders about Contacting Medicare Advantage Pre-certification Department, August 2020
- New on Availity – Easy Updates to Place of Service for Outpatient Authorizations, August 2020
- Telehealth and In-Home Health Assessments Are Available at No Additional Cost to Eligible Florida Blue Commercial Member, August 2020
- Temporary Changes in Effect for NIA Magellan Prior Authorization Processes, April 2020
- New Support Program Available for Commercial Members with Advanced Illnesses, April 2020
- Tips for Authorization Requests, March 2020
2021
- Learn How Cotiviti Analytics Can Help Your Practice Provide Value-Based Care, October 2021
- Time to Update Your Primary Care Provider Roster, September 2021
- New Quality Bonus feature Added in Provider Link, July 2021
- Quality Bonus Program Scorecard Update in Provider Link, June 2021
- 2021 Medicare Advantage Provider Quality Bonus Program Information and More, February 2021
- Provider Link Update: Coding Opps Workflow & Care Events Calendar for Med Adv Patients, February 2021
- Provider Link Enhancements at a Glance, January 2021
2020
- Provider Link Update: Clinical Insights for Your Med Adv Patients, December 2020
- Check Out the Recent Enhancements to ProviderVista, November 2020
- Provider Link Update: Now You Can Print Member Snapshot Information, October 2020
- New Member Snapshot Function and More Updates Now Available in Provider Link, July 2020
- New Financials Feature Now Available in Provider Portal Platforms: ProviderVista and Provider Link, June 2020
- Value-Based Alternative Payment Programs Webpage Updated, May 2020
- New Care Gap and Capitation Roster Updates in Provider Link Medicare Advantage Population Management Platform, April 2020
- Provider Portal’s New Feature Allows You to Close Patient Care Gaps, April, 2020
- Latest Provider Link MA Population Platform Updates: DSNP and New Member Filters, March 2020
- New Features in Provider Link Give You More Patient Information, February 2020
- ProviderVista’s Latest Feature Offers More Comprehensive Picture of Your Patients, January 2020