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Claims, Coding, Payment

In the “Current” tab, you’ll find news published during the past year. Use the “Archive” tab to view news going back an additional two years.

1/1/21 Updated payment policies now available
12/23/20 Prolonged service, visit complexity code update, E/M guideline update
11/20/20 Claims with COVID diagnoses require positive test in chart
11/18/20 Lab service claims should include ordering clinician NPI
11/2/20 When members have more than one insurer
10/28/20 Part III: Avoiding common dental claim rejections
10/21/20 COVID-19: Use appropriate diagnoses when billing for COVID testing
10/1/20 Fourth quarter hospital outpatient drug fee schedule posted
10/1/20 Updated payment policies now available
9/23/20 Advanced Bionics and Med-EL are in-network for cochlear implant supplies
9/16/20 Part II: Avoiding common dental claim rejections
9/4/20 Behavioral health providers: Sept 1 fee schedule clarification
8/31/20 Campaign to educate on billing E/M services starts in September
8/20/20 Use the correct NPI on your Dental Blue claims
8/3/20 Telehealth & online digital codes for FEP & Medicare Advantage
7/30/20 Part I: Avoiding common dental claim rejections
7/1/20 Third quarter hospital outpatient drug fee schedule posted
7/1/20 Updated payment policies now available
6/22/20 Increased fees for COVID-19 lab & specimen collection codes
4/29/20 COVID-19: APR-DRG Grouper ICD-10 code update
4/20/20 Non-emergency ground ambulance transports covered temporarily
4/20/20 COVID-19: How to bill for drive-through testing
4/14/20 Medicare Advantage reimbursement will be temporarily adjusted
4/14/20 Claims filing timelines extended
4/13/20 Reminder: Don’t include attachments with claims
4/7/20 Temporary fee schedules posted
4/1/20 Second quarter hospital outpatient drug fee schedule posted
3/31/20 Updated payment policies now available
3/24/20 Coverage for dental telephone or video consultations