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Blue Bulletin

BlueShield of Northeastern NY strives to provide our network of provider practices and facilities with the most current health plan information in a quick and easily accessible manner.

  • Improving Patient Experience

    December 23, 2019

    Providing high quality care is essential. But there are some small changes that may help improve how your patients feel about their overall health care experience during a visit to your office.
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  • 2020 Updates: Products, Benefits, and Prior Authorization Requirements

    December 23, 2019

    We know any coverage and benefit changes can affect your office. We’ve summarized some of the more significant updates coming for your BlueShield patients beginning on January 1, 2020.
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  • Medicare Drug Management Program Through Express Scripts

    December 23, 2019

    We are working with Express Scripts® to support the CMS-mandated Drug Management Program beginning in January, 2020. The program is designed to promote safe and appropriate use of opioid medication for Medicare patients.
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  • Medical Record Retrievals

    December 23, 2019

    Whenever possible, we try to minimize the disruption of medical record requests to your office. Here’s the latest on upcoming record request campaigns and our coordination with other Blue plans in 2020.
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  • Q4 2019 Updated Drug Therapy Guidelines and Medical Protocols Available Online

    December 23, 2019

    Our drug therapy guidelines and medical protocols were recently updated and will be available online. We provide information about what’s affected, when these will be available and when they go into effect.
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  • Billing Requirements for Elective C-sections and Induction of Labor

    November 26, 2019

    We are aligning with Medicaid’s billing requirements for elective obstetric deliveries.
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  • HEDIS 2020 – What’s New, What’s Changing

    November 21, 2019

    As the end of 2019 approaches, we want to update you about HEDIS measures for 2020.
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  • Optimizing Care for Asthma Patients

    November 21, 2019

    As we head into another Capital Region winter, cold air has the potential to induce symptoms for the 8,000 BlueShield patients with asthma, and exacerbations continue to rise every year.
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  • Updated Drug Therapy Guideline and Medical Protocol

    November 21, 2019

    An updated drug therapy guideline for Taltz will be posted today, and changes have been made to one of our medical protocols.
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  • Add-on Codes to Require Use of Appropriate Base Procedure Code

    November 21, 2019

    Beginning on March 1, 2020, we will only reimburse for add-on codes attached to a designated primary service or appropriate base procedure code.
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