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SEPTEMBER 2022

Review your directory information in NPPES

Centers for Medicare & Medicaid Services (CMS) has asked Blue Cross to remind you to review your NPI data in the National Plan & Provider Enumeration System (NPPES) as soon as possible. As you may know, providers are legally required to keep their NPPES data current.

Keeping your directory information current helps our members, your patients, have the most accurate information.

Claims, Coding, Payment

Fourth quarter 2022 hospital outpatient drug fee schedule

We updated our commercial HMO, PPO, and Indemnity hospital outpatient fee schedules.

Monkeypox vaccine billing guidelines

In response to the monkeypox public health emergency, we would like to provide guidelines on how to bill for the administration of the monkeypox vaccine.

Updated payment policies now available

List of payment policies that were updated in Q3 2022 and are now available on Provider Central.

Clinical & Pharmacy

December 2022 Medical and Pharmacy Policy updates now available

Lists of new, revised, and clarified medical policies and pharmacy medical policies effective in December 2022 are now available.

Help your patients control their blood pressure

Partnering with your patients on blood pressure and discussing the importance of blood pressure monitoring can help them understand how to control it.

Office Support

Are you prepared for ConnectCenter transition on September 30?

Are you prepared to use ConnectCenter for real time transactions (eligibility and claim status)? As a reminder, Online Services will be retired on September 30.

ConnectCenter Tips: Access claims submitted via Online Services

As we have been transitioning our claims submission capabilities from Online Services to ConnectCenter, you may be wondering how to access claims originally submitted using Online Services.

ConnectCenter Tips: Specialty-specific eligibility inquiries

ConnectCenter tips have been created for providers who perform eligibility inquiries to find out specific benefit details.

Help patients who are looking for care, verify your directory data

Please review and update your provider directory information. The Consolidated Appropriations Act (CAA) requires provider directory information to be verified every 90 days.

PCPs: We have a few questions for you

Our annual provider satisfaction survey recently mailed to a random sample of primary care providers and office managers.

Quality & Efficiency

Blue Cross taking bold steps toward health equity

We recently announced that the Institute for Healthcare Improvement (IHI) has awarded $16.5 million in Blue Cross Blue Shield of Massachusetts-funded grants to 12 health systems across Massachusetts.

News Alerts

Our secure website also includes News Alerts specific to your type and specialty. Below we listed all News Alerts published this month. These may or may not apply to your provider type. To read News Alerts specific to your provider type and specialty, log on to bluecrossma.com/provider and click News. Look for the red exclamation point.

Date published	News Alert
September 22	Announcing 2023 incentive program measures
September 23	We will reimburse for psychiatric physician assistant services (behavioral health facilities)
September 23	Contract with us to bill for psychiatric physician assistant services (behavioral health groups)
September 29	Same-day E/M service with global day procedure policy update
September 29	Chiropractor fee schedule code addition
September 30	Reimbursement for crisis stabilization payment policy update
September 30	Telehealth payment policy update
September 30	New pharmacy benefit manager, pharmacy benefit changes

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