Highlights from the State Meeting Presentation – October 2019
Highlights from the State Meeting Presentation – October 2019
Always have an updated fee schedule for all of your private insurance carriers.
Blue Cross/Blue Shield releases a fee schedule three times a year
– January 1st
– June 1st
– October 1st
Blue Review Newsletter (from BC/BS) is an excellent source for news releases and on-going information. Access it off the Blue Cross website under Providers. They have monthly issues.
– Blue Cross Blue Shield – publishes Comprehensive User guides for GOV, PPO, and HMO plans – Please make sure you have these guides.
– Blue Card – Through BC/BS can be used in any state
- Used by Military
- Submit bill to BCBS Illinois
- Has its own benefit profile
Federal Employees FEP (BC/BS):
– Usually will not cover wound grafts.
– Usually will not cover regenerative products
Prior authorization for:
– MRI’s
– CT’s
- Know your Acronyms
- XOG – Government and MMAI
- XOH – HMO
- XOF – High Level
- XOX – Tiered product
(Know your tier – If you have not received a letter – Call Provider).
Relations
Make sure you take advantage of all the educational training available for your employees.
– Webinars on Availity
– New Provider Training
– Hot Topic Training
– Workshops
All available registration on their Website BCBS.il gov
Jondelle B. Jenkins, DPM
