Archivos de noticias de 2020
- 12/29/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan.1, 2021 – Part 2
- 12/23/2020 Comprehensive Care Plans to be Emailed or Faxed
- 12/23/2020 Quality Health Standards –Prenatal and Postpartum Visits
- 12/22/2020 COVID-19 Vaccines and Coverage
- 12/17/2020 Billing Reminders for Psychological and Neuropsychological Testing
- 12/17/2020 Revision to Specialty Medication Administration Site of Care Policy, Effective Jan. 1, 2021
- 12/17/2020 Programa de incentivo para prestadores de servicios médicos para las consultas de seguimiento de salud mental de pacientes ambulatorios
- 12/15/2020 Obtain BCBSNM Patient ID Numbers Online via Availity® – Now Available for Government Programs
- 12/15/2020 View, Download and Print the BCBSNM Member's ID Card Online via the Availity® Provider Portal
- 12/15/2020 Verify Multiple Patient's Eligibility and Benefits Coverage via Availity®
- 12/15/2020 New Electronic Duplicate Claim Rejections for Commercial Claims Effective Nov. 14, 2020
- 12/15/2020 Submit Electronic Professional and Facility Claims via the Availity® Provider Portal
- 12/15/2020 Patients in the Qualified Medicare Beneficiary (QMB) Program Should Not Be Billed
- 12/15/2020 Hospitals Must Provide Medicare Outpatient Observation Notice (MOON)
- 12/14/2020 Coverage for Coronary Artery Calcium Scan for Cardiovascular Disease Risk Assessment
- 12/11/2020 Transition of Care: Prior Authorization Changes from eviCore to AIM for Some Members effective Jan. 1, 2021
- 12/11/2020 Providers receiving bamlanivimab for free should not bill for the product
- 12/10/2020 BCBSNM will update CPT® codes for some prior authorization services effective Jan. 1, 2021
- 11/17/2020 New HEDIS® Tip Sheets for Behavioral Health HEDIS Measures: APM and UOP
- 11/16/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021, Part 1
- 11/05/2020 Availity® Provider Portal Offerings
- 10/29/2020 BCBSNM Moving Prior Authorization Duties from eviCore to AIM Effective Jan. 1, 2021, for Some Members
- 10/22/2020 Continuity and Coordination of Care - Free Webinar and Continuing Education Credit for Providers
- 10/12/2020 Provider Finder® Gets an Upgrade
- 10/12/2020 Telemedicine – Future State
- 10/08/2020 Updates and Reminders: Submit Predetermination of Benefits Submission via Availity®
- 10/08/2020 Availity Claim Status Tool Now Available for All BCBSNM Members
- 09/29/2020 New national high-performance network to launch in January
- 09/29/2020 New HEDIS® Tip Sheets* Behavioral Health HEDIS Measures: FUA and FUM
- 09/28/2020 Facturas detalladas obligatorias para reclamaciones de centros de BlueCard® superiores a $100 mil
- 09/28/2020 Clinical Practice and Preventive Care Guidelines Updated for 2020-2021
- 09/28/2020 Childhood Immunization Rates Fall Amidst Pandemic Fears
- 09/18/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct.1, 2020 – Part 2
- 09/17/2020 What You Need to Know About Substance Abuse - Free Webinar and Continuing Education Credit for Providers
- 09/14/2020 In-Home Diabetes Monitoring Tests Coming to Select Blue Cross Community CentennialSM Members
- 09/11/2020 Verify Procedure Code Preauthorization Requirements and Submit the Request via Availity®
- 09/04/2020 Census 2020
- 09/02/2020 Updated Behavioral Health Measures from HEDIS® 2020-21*
- 08/31/2020 Telehealth Visits – Medicare Advantage
- 08/31/2020 Obtain BCBSNM Patient ID Number Numbers Online via Availity®
- 08/27/2020 Blue Distinction® Message via the Availity® Eligibility and Benefits Results
- 08/19/2020 Physical Therapy Benefits to be Contained Within the IVR Phone System as of Sept. 8, 2020
- 07/31/2020 iExchange® Will Be Deactivated on Aug. 17, 2020
- 07/31/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2020, Part 1
- 07/31/2020 Depression? How Do You Know? Free Webinar and Continuing Education Credit for Providers
- 07/30/2020 Blue Cross Medicare Advantage Prior Authorization Updates effective Sept. 1, 2020
- 07/30/2020 Addition of New Prior Authorization Requirements for Blue Cross Community CentennialSM Members
- 07/28/2020 Monto umbral para la revisión de reclamaciones para asegurados de Blue Cross Community CentennialSM
- 07/27/2020 Submit Predetermination of Benefit Requests via the Availity®
- 07/24/2020 Overpayment Recovery Process for Contracted Providers
- 07/24/2020 Colorectal Cancer Screening at Home
- 07/24/2020 Imaging Studies for Low Back Pain for FEP Members
- 07/24/2020 Two New Behavioral Health Measures Tip Sheets
- 07/22/2020 Retainer Payments for Personal Care Services Providers - Special COVID LOD #12; Community Benefit, Appendix K
- 07/02/2020 CMS Payment Adjustments for Medicare Providers
- 07/01/2020 Las agencias federales extienden las fechas límites de la presentación oportuna de apelaciones
- 06/17/2020 New Email Address for Prior Authorization Appeals Changing Effective July 1, 2020
- 06/15/2020 Actualizaciones del programa de farmacia: modificaciones de farmacia trimestrales vigentes desde el 1 de julio de 2020, 2.ª parte
- 06/10/2020 BCBSNM will update CPT® codes for some preauthorization services
- 06/08/2020 COVID-19 Coverage Updates for Medicare Providers
- 05/26/2020 Calls to Electronic Commerce Services will be Redirect to Email as of June 15, 2020
- 05/19/2020 COVID-19 Initiatives Extended into June
- 05/14/2020 Extending Prior Authorization on Previously-Approved Elective Surgeries, Procedures and Therapies (Updated)
- 05/13/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2020, Part 1
- 04/29/2020 Making It Easier to Access Chest CT Scans
- 04/29/2020 BCBSNM Making It Easier to Transfer Members to Post-Acute Care
- 04/24/2020 Blue Cross and Blue Shield of New Mexico Further Expands Telemedicine to All In-Network Providers
- 04/20/2020 CARES Act Provider Relief Summary
- 04/15/2020 Extending Prior Authorization on Previously-Approved Elective Surgeries, Procedures, and Therapies
- 04/14/2020 Alert: iExchange® Deactivation Extended Due to COVID-19
- 04/10/2020 New Guidance and Recommendations for Personal Care Services Providers
- 04/10/2020 BCBSNM Waives Customer Cost-Sharing for COVID-19 Treatment
- 04/08/2020 New Mexico Human Services Department Issues Special COVID-19 Supplement #3 “Guidance for New Mexico Medicaid Providers” to MAD NMAC Program Rules
- 04/07/2020 New Mexico Human Services Department Issues Letter of Direction #31 – COVID-19 Guidance for Centennial Care 2.0 Managed Care Organizations Repeal & Replace LOD #30
- 04/02/2020 A letter to Behavioral Health Providers from HSD Director of Behavioral Health Services Division Neal Bowen
- 03/31/2020 Reminder: iExchange® Deactivating on April 15, 2020 – Use the Availity® Authorizations Tool
- 03/30/2020 Using Telemedicine and Telehealth in Response to COVID-19
- 03/27/2020 Medicare Advantage Provider Call Center Lines Experiencing Longer Hold Times
- 03/27/2020 Temporary Changes for In-Home Services, Community Benefits, and Nursing Facility Level of Care Determinations
- 03/27/2020 New Mexico Human Services Department Issues Letter of Direction #30 – COVID-19 Guidance for Centennial Care 2.0 Managed Care Organizations
- 03/19/2020 New Mexico Centennial Care 2.0 Letter of Direction #30 - COVID-19 Guidance for CC 2.0 MCOs
- 03/19/2020 Actualizaciones del programa de farmacia: cambios de farmacia trimestrales vigentes desde el 1 de abril de 2020, 2.ª parte
- 03/17/2020 Clarification: New BCBSNM 837 Commercial Claim Validation Edits Effective April 1, 2020
- 03/11/2020 COVID-19 Preparedness in New Mexico
- 03/03/2020 New BCBSNM 837 Commercial Claim Validation Edits
- 03/02/2020 Three New ClaimsXtenTM Rules to be Implemented June 2020
- 02/27/2020 CMS Star Ratings Matter: Survey to Assess Medicare Advantage Members’ Experiences
- 02/26/2020 Obtain Your Provider Claim Summary (PCS) Online – PCS Mailing Discontinuation as of May 4, 2020
- 02/19/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2020, Part 1
- 02/18/2020 Resolved: Electronic Payment and Remittance Delivery Delay
- 02/17/2020 New Authorizations Tool via Availity Provider Portal®: Revised Launch Date of Feb. 17, 2020
- 02/14/2020 Electronic Payment and Remittance Delivery Delay
- 02/06/2020 Prior Authorization Changes for ID Prefixes BBE, BHP, BNK, BRG and BYR
- 01/30/2020 Implementation Delay: Authorizations via Availity® Provider Portal
- 01/22/2020 Eight Steps Toward Health Equity in Hypertension
- 01/22/2020 Eight Steps Toward Health Equity in Diabetes
- 01/17/2020 Updates Made to the Medicare Advantage Section of the Blues Provider Reference Manual
- 01/13/2020 Survey Shows Medicaid Members Give Their Providers High Ratings
- 01/13/2020 Our Medicaid Quality Improvement Program
- 01/06/2020 Reminder: New Online Enrollment Process for 835 EFT and ERA through the Availity® Provider Portal