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Past Issues

July 2002

Important Updates

Availity, VO update

Availity offers a secure, electronic gateway that enables health care professionals throughout Florida to conduct all standard transactions with multiple health plans via a single, integrated eHealth network at no charge.

New 800 number, hours for precert

Beginning Aug. 1, 2002, two changes will make it easier for you to contact us when you need to obtain precertification, preauthorization or medical clearances for members in any Blue Cross and Blue Shield of Florida or Health Options plan.

NHLBI offers guidelines for referring patients to an asthma specialist

The National Heart, Lung and Blood Institute has recommended guidelines for referring a patient with asthma to an asthma specialist.

PCP screening for depression could identify 90% of cases

Depression is one of the most common – and most commonly undiagnosed – disorders.

Billing

BCBSF BlueNews Q&A

This series is designed to answer questions frequently asked at the educational Blue Cross and Blue Shield of Florida BlueNews Seminars that we have held throughout the state.

Check contract or member numbers

Did you know that an invalid contract or member number is the number one reason for a claim to be denied or returned?

Copay applies for pacemaker analysis

Transtelephonic pacemaker monitoring is part of a comprehensive pacemaker patient management program.

Medical Coverage Guidelines

Closure of secundum atrial septal defects using the Amplatzer® Septal Occluder device transcatheter may be considered medically necessary and may be covered when used for the following indications consistent with FDA labeling:

Products and Services

Diabetes tools, link added to website

Have you visited the Blue Cross and Blue Shield of Florida provider website lately? We have added some useful educational tools for you to use with patients who have diabetes.

It's hurricane season: Accept the card

It's important for all of us to be prepared for any emergency situation, such as a hurricane or other natural disaster that causes a business interruption.

Special Issue

BCBSF BlueNews Q&A

HIPAA-AS was a hot topic with those who attended the BCBSF BlueNews Seminars held around the state earlier this year.

How can you prepare for compliance?

There are a number of ways to prepare for HIPAA compliance.

Incepture: Practices made perfect

Health care organizations are faced with regulatory and compliance issues every day.

Patients. Not paperwork! Register with Availity today

Availity is an exciting new venture between Navigy, a subsidiary of Blue Cross and Blue Shield of Florida, and HUM-e-FL, a subsidiary of Humana Inc.

Transactions and code sets will require new format

The main purpose of HIPAA-AS law is to simplify administrative burdens and reduce costs.

What should you know about HIPAA?

From solo practitioners to hospital systems to payers, the Health Insurance Portability and Accountability Act's Administrative Simplification (HIPAA-AS) provisions are setting new standards for the exchange of electronic data, including enrollment, claims payment, billing, authorizations and other health care transactions.

Pharmacy News

BCBSF Drug Formulary Update

BCBSF maintains a separate medication list for our customers with a two-tier benefit plan.

Medication safety: Drug Utilization Review reduces the risk of outpatient adverse drug events

The National Coordinating Council for Medication Error Reporting and Prevention defines a medication error as "Any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient or consumer."

New program encourages use of generics

The growth of prescription drug spending is a major factor in rising health care costs.

Preferred Medication List - July 2002

ALL COVERED GENERIC MEDICATIONS PROCESS AT THE LOWEST COPAYMENT.

Preferred Medication List Update

The Preferred Medication List for three-tier benefit plans is updated quarterly.

Quick Glance - July 2002 Preferred Medication List

All covered generic medications will be processed at the lowest copayment.