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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.

  • Update to our Radiation Therapy Preauthorization Process

    August 20, 2019

    We’ve expanded our relationship with National Imaging Associates, Magellan Healthcare (NIA) to help streamline the preauthorization process for Radiation Therapy.
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  • Partnership with ProgenyHealth

    August 05, 2019

    We are partnering with ProgenyHealth, a company that specializes in Neonatal Care Management Services through the first year of life. Beginning on October 1, 2019, Progeny will work with BlueShield neonatal patients/parents, as well as attending physicians, nurses and pediatricians, to promote healthy outcomes for premature and medically complex newborns.
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  • Social Isolation: Impacting Physical Health

    July 29, 2019

    A recent study by BlueShield of Northeastern New York confirms not only the prevalence of social isolation, but its impact on the health of our local community.
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  • Collaborative Effort to Improve HPV Vaccination Rates

    July 29, 2019

    Did you know that human papilloma virus (HPV) vaccination rates fall far below those of other routine vaccines for adolescents across New York State? We’ve partnered with American Cancer Society, NYS and City Departments of Health and leaders of the state health care community to change that.
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  • Billing Prenatal and Postpartum Care Visits

    July 29, 2019

    We offer some coding tips to help your practice receive credit for meeting the Prenatal and Postpartum Care (PPC) HEDIS® measure.
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  • SilverSneakers®: Helping Seniors Stay Healthy, Happy and Independent

    July 29, 2019

    This Medicare Advantage fitness benefit nurtures not only a healthier body, but a healthier mind and spirit too. Learn more about this popular program.
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  • The Appropriate Use of Imaging for Low Back Pain

    July 29, 2019

    Studies have shown that early imaging for low back pain (before six weeks from onset) does not result in improved outcomes. But patients who have early imaging have substantially higher health care use than those who do not undergo early imaging.
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  • Pending Claims Reports Now Only Available Online

    July 29, 2019

    Pending claims reports, previously mailed on a biweekly basis, will now only be available to providers online, beginning this month.
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  • Sleep Studies to Require Preauthorization

    June 28, 2019

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  • Medication Billing and Coverage Updates

    June 24, 2019

    We’ve recently updated and added to our drug therapy guidelines, including a revision to a previously announced National Drug Code (NDC) requirement. We will temporarily suspend the previously announced policy. Effective August 1, outpatient claims for J-codes must also include the valid NDC of the billed product. Please read the full article for more about these important changes.
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