Provider News

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

• CMS Diagnosis Coding Updates Vital to RADV Program, December 2023

• Changes to Online Provider Directory Link and Reminders About Provider Ratings and Reviews, December 2023

• Required D-SNP Training Deadline is Extended, October 2023

• Florida Blue Adds New Credentials Verification Organization for Enhanced Support of Credentialing Services, August 2023

• Availity AuthAI (formerly Olive) for Radiology, Hip and Knee, and Musculoskeletal UM Authorizations, August 2023

• Florida Blue Medicare Risk Adjustment Best Practices and Coding Educational Guide, 2023

• Health Assessments offered to Select Commercial Members, July 2023

• Keep Your Profile Information Current Each Quarter to Stay Listed in Our Provider Directories, June 2023

• D-SNP Basic Training Required for Medicare Advantage HMO Provider Groups, June 2023

• 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

• Medicare Beneficiary ID Now Displayed in Availity, December 2022

• 2022 Medical Record Review Results Now Available, December 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

• Changes to Streamline Prior Authorizations for Unclassified Drug HCPCS, July 2022

• Improving E&B Transactions with New Member ID Card Display, July 2022

• 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

• Commercial Risk Adj, Medical Record Requests, November 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

2024

• Help Your Patients Manage Stress With meQuilibrium, January 2024

2023

• Behavioral Health Services Reminder for myBlue Members, August 2023
• Help Your Patients Manage Stress With meQuilibrium, June 2023
• New Directions Behavioral Health is now Lucet, March 2023
• Supporting Behavioral Health in Your Practice, January 2023

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

• No Surprises Act Claims and Billing FAQs, December 2022

• No Surprises Act General Details and Resources, December 2022

• 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

2023

• Update: BCBS Global Products Provide Members w/Covered Medical Services in U.S. via BlueCard, April 2023

2022

• 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

2023

• Care Programs Filter, Export, and More, November 2023

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

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

2024

• GuideWell Releases Annual Impact Report, April 2024

2023

• Help for Those Losing Medicaid or CHIP Benefits

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

• Reminder for MA Providers: Review Polices for Preventing Medicare Fraud, Waste & Abuse, September 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

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

• HEDIS Measure: Statin Therapy for Patients with Cardiovascular Disease, January 2023

• HEDIS Measure: Plan All-Cause Readmissions, January 2023

2022

• 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

• FEP: COVID-19 Vaccine $50 Incentive Extended to End of Year, September 2021
• New FEP Member IDs and COVID-19 Vaccine Incentive, July 2021
• CAHPS Survey: You Can Make a Difference in Your Patients’ Satisfaction with Their Care, July 2021

2024

• CMS to Conduct National Audit to Identify Improper Medicare Advantage Payments, January 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

• myBlue Quality and Efficiency Reporting Portal (QERP), January 2021

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

• BlueMedicare Health Plans Are Expanding in 2023, October 2022

• CMS National Audit to Identify Improper Medicare Advantage Payments, January 2022

2021

• Prior Authorization Updates in the Provider Manual, December 2021

• Livongo Hypertension Pilot Program for Medicare Advantage Members, December 2021

• BlueMedicare Health Plans Expanding to Additional Counties, October 2021

• Florida Blue Medicare Formulary Will Change in 2022, September 2021

• D-SNP Basic Training Required for Med Adv HMO Provider Groups, August 2021

• Share HealthyBlue Rewards Brochures With Florida Blue Medicare Advantage Members Using QR Codes, February 2021

2023

• Behavioral Health Services Reminder for myBlue Members, August 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

2021

• myBlue HMO and BlueSelect Health Plans Are Expanding in 2022, October 2021

• myBlue HMO Plan Highlights to Remember to Help Reduce Claims/Coding Errors, September 2021

2024

• Help Your Patients Manage Stress With meQuilibrium, January 2024

2023

• Help Your Patients Manage Stress With meQuilibrium, June 2023
• Asthma Awareness Initiatives Help Improve Health Outcomes, June 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

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

• Introducing Salus Clinic to Florida Blue and Truli Members Traveling to Puerto Rico, December 2022

2021

• National Doctors’ Day is March 30 In a Year Like No Other, Thank You for All You Do, March 2021

2023

• Hurricane Season Is Here. Important Guidelines to Know, May 2023

2022

• Relaxed Prior Authorizations and Relaxed Referral Requirements for Florida Blue, Florida Blue Medicare, and Truli Patients Affected by Hurricane Ian and Hurricane Nicole Are Ending, November 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

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

• Prior Auth No Longer Required for Preferred CGMs and Supplies for BlueMedicare Patients, December 2023

• Part B Step Therapy Updates for Medicare Advantage, December2023

• Winn Dixie Pharmacy Closure for Commercial, Medicare, and Truli Plans Effective Now, December 2023

• Best Practices for Submitting Pharmacy Prior Authorization Requests, December 2023

• Commercial and Other Pharmacy Program Updates Effective January 1, 2024, November 2023

• Important Update about Ophthalmic Drug (Avastin) for Medicare Advantage Providers, October 2023

• What You Need to Know About Coverage for GLP-1 Drugs, November 2023

• Commercial and Other Pharmacy Program October 1 Updates, September 2023

• Medicare Advantage Patients See Lower Costs For Part B Drugs Under Inflation Reduction Act, August 2023

• Part B Step Therapy Updates for Medicare Advantage, May 2023

• July 1 Commercial & Other Pharmacy Program Updates, May 2023

• 2023 Fee Schedule Changes for Certain J and Q Code Drugs, May 2023

• Updated -- Prior Authorization Streamlined for Continuous Glucose Monitors, Supplies, May 2023

• 100-Day Supply Prescriptions Help Your Medicare Patients, May 2023

• April 1 Commercial & Other Pharmacy Updates, March 2023

• Additional Considerations for Pharmacy Prior Authorizations, February 2023

• Refresher on Submitting Pharmacy Prior Authorization Requests, January 2023

• Opioid Crisis & Life-Saving Medication: Web Resources Now Available, January 2023

• Part B Step Therapy Changes Affect Medicare Advantage Members, January 2023

2022

• Important Medicare Information for Insulin and Adult Vaccine Coverage, December 2022

• Ozempic Pen Injection Shortages May Continue, December 2022

• Generic Rx Extended Day Supply to Increase for Medicare Advantage Members, December 2022

• Commercial and Other Pharmacy Updates, December 2022

• New Process to Fill BlueMedicare Diabetic Maintenance Prescriptions, December 2022

• Shortages May Continue for Amphetamine/Dextroamphetamine Salt Tablets, October 2022

• 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

2023

• Local Spread of Dengue Fever Occurring in Florida, October 2023

• Florida Department of Health Issues Mosquito-Borne Illnesses Advisory, July 2023

• End of Public Health Emergency: Medicare Advantage Plans Returning to Standard Benefits, April 2023

• End of Public Health Emergency: Florida Reinstating Medicaid Status Review, April 2023

• COVID-19 Billing Guidelines, April 2023

• COVID-19 Update, 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

• Reminding Patients There Is Still Time to Get Their Flu Shot, November 2022

• Remind Patients to Get Their Flu Shots, October 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

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

• How to Access Quality Program Information Online, December 2022

• QRPM Coding Newsletter -- Documentation, December 2022

• HEDIS Minimum Documentation Guide for Measurement Year 2022, December 2022

• HEDIS Deadlines for Measurement Year 2022, December 2022

• QRPM Coding Newsletter -- Coding Updates, October 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

• FEP Quick Reference Guide 2022, March 2022

• CAHPS Survey Tips for Success, April 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

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

• Diabetes Screening May Help Patients on Antipsychotic Drugs, November 2023

• CPT II Coding Spot Bonuses Now Through December, October 2023

• Supporting Patient Response to HOS Survey, August 2023

• 2023 Stars AWV Bonus Offer is Extended, July 2023

• 2022 Medicare Stars Provider Quality Bonus Payment and Results, July 2023

• Provider Best Practices Toolkit for CAHPS/HOS for 2023, May 2023

• CAHPS Quality Measures Tips to Success, April 2023

• Medicare Stars HEDIS Best Practices for 2023, April 2023

• 2023 Stars Med Adv Provider Quality Bonus Terms & Conditions, February 2023

2022

• HEDIS Measure Links Medications for Older Adults to Diagnosis, October 2022

• 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

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

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

• Enhancements to the Census Page in ProviderVista and Provider Link, December 2022

• ProviderVista, Provider Link Updates to Roll Out Through the End of 2022. November 2022

• 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

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

• Cardiology Management Program for Med Adv Member FAQs, November 2023

• New Century Health to Manage Cardiovascular Services for Medicare Advantage Members, September 2023

• Availity AuthAI (formerly Olive) for Radiology, Hip and Knee, and Musculoskeletal UM Authorizations, August 2023

2022

• 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

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
• 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