Bulletin
To the Physician
Important Updates
CDC revises flu vaccine recommendation
In May, the Centers for Disease Control and Prevention (CDC) issued a revised Recommended Childhood and Adolescent Immunization Schedule for July through December 2004.
New lab provider tapped for HMO and NetworkBlue
Blue Cross and Blue Shield of Florida and its subsidiary, Health Options, have contracted Quest Diagnostics Incorporated to provide clinical laboratory services for BlueCare, Medicare & More and BlueOptions members.
Online Remittance Advice now available
Blue Cross and Blue Shield of Florida and Availity are pleased to announce the implementation of the Online Remittance Advice (OLR) beginning June 28 for claims that processed on and after April 1, 2004.
Products and Services
Prevention and Practice Guidelines
Follow these tips when prescribing oxygen, CPAP, BiPAP
If you are prescribing oxygen, Continuous Positive Airway Pressure (CPAP) or Bilevel Positive Airway Pressure (BiPAP) for BlueChoice and BlueOptions members, the following steps can help ensure claims process properly and in a timely manner.
Key clinical activities for asthma care
An increasing number of people suffer from asthma. Florida Department of Health statistics show that about 4 percent of our state’s residents live with asthma.
Billing and Claims
Code with the highest specificity
Some electronic claims are denied because they include an invalid diagnosis code. Using the most appropriate diagnosis code with the highest number of digits provides accurate and detailed information needed to process claims correctly.
Coding changes went into effect
Blue Cross and Blue Shield of Florida has upgraded its version of ClaimCheck®, the automated procedure code editing system used as part of our professional claims processing procedure.
When billing unclassified drugs
Submitting claims for administration of injectable drugs can be confusing, especially those without a specifically designated “J” code.
Electronic Solutions