Quality Measure Update: Adult Primary Care *All information obtained from BCBS Provider News Email The Diabetes Microalbumin quality measure will be removed from scoring beginning with first quarter 2024 scoring. Additional adult quality measure information is available on ProviderAccess. Contact MediSYS
Telehealth Update: COVID-19 Public Health Emergency Ending *All information obtained from BCBS Provider News Email Due to the end of the COVID-19 federal public health emergency (PHE) on May 11, 2023, BCBS of AL has updated our Telehealth Billing Guide for Providers. (Telehealth Update) Refer to this document and our Telehealth and Remote Access Telemedicine policy on ProviderAccess for post-PHE guidance. These documents as well as other related information are located on our Telehealth and…
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Changes to BCBS Quality Measure Updates are summarized in the table below. Correction: The Opioid quality measures were never scored and were on display only. You will continue to see the age-expansion version of this measure on display as you are scored on the current version (ages 50 – 75). Additional Resources for BCBS Quality Measure Updates: View the following resources for more information about the measures above: Quality Measures by Specialty flyer Blue Advantage®…
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After the implementation of the Surgery-Related Claims Filing Updates, BCBS of AL identified modifications needed in the programming to correct reimbursement amounts for scenarios involving bilateral procedures and/or multiple surgeries. BCBS of AL identified impacted claims and are being reprocessed with the corrected allowances as soon as possible. Do not file a correction on any of the claims that paid incorrectly. Watch the “Surgery-Related Claims Filing Updates” webcast at AlabamaBlue.com/TimelyTopics for more information about these changes. For a list…
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Review Your COVID-19 Advance Payment We want to make sure physicians and practice managers review the advance payment that BCBS of AL is offering to providers participating in one of their Select Programs (Primary Care, OB-GYN, Pediatrics and Endocrinology) to help with the financial disruption caused by the COVID-19 pandemic. Providers must opt in by June 30, 2020, to receive the advance payment. To see the amount you’re eligible to receive and view the terms…
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Attention: MediSYS ClientsNew System EnhancementsBlue Cross and Blue Shield of Alabama and MediSYS, an independent company, have worked together to integrate the Patient Health Snapshot (PHS) into the MediSYS system. By using this feature, MediSYS clients will experience increased efficiency in viewing and printing the PHS to assist in closing gaps in care. This could make a significant difference in value-based earnings for primary care and Blue Advantage® providers. For more information, refer to the…
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Integrated Patient Health Snapshot MediSYS and Blue Cross & Blue Shield of Alabama have made it easier to close gaps in care by integrating Patient Health Snapshot (PHS) within MediSYS. MediSYS clinics can now quickly review a PHS to see the complete health snapshot prior to seeing the patient. Available to all MediSYS client regardless of EHR, simply: Check E&B via Infosolutions by selecting 2)Ok After the eligibility displays in a PDF, click on 1)Review…
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January 1, 2020 – January 1, 2020 Description: Information from BCBS of AL Provider News (click here to view notice from BCBS): Care Alerts electronically inform physicians and physician extenders when one of their patients seeks care at an emergency room or is admitted to or discharged from a hospital. Care Alerts promote immediate follow-up and transition of care coordination, which reduces the likelihood of a hospital readmission. Providers will receive alerts for patients assigned…
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Come by and visit MediSYS tomorrow, November 14th, at the BCBS of AL BlueForum (formerly Town Meetings) at the Weston Huntsville in Huntsville, AL! Stop by our booth and learn more about MediSYS and how we can help you! Ask us about our great tools such as automated RAF score, prospective payments, patient text payments and more! For more information visit: https://providers.bcbsal.org/portal/web/pa/resources/-/resource/viewArticle/DBWS65RJBG
Come by and visit MediSYS tomorrow, October 29nd, at the BCBS of AL BlueForum (formerly Town Meetings) at the Wiregrass Rehabilitation Center in Dothan, AL! Stop by our booth and learn more about MediSYS and how we can help you! Ask us about our great tools such as automated RAF score, prospective payments, patient text payments and more! For more information visit: https://providers.bcbsal.org/portal/web/pa/resources/-/resource/viewArticle/DBWS65RJBG
