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Past Issues

May/June2005

To the Physician

A new tool helps fine tune your skills

With Florida’s population growing more diverse, the ability to communicate with people from different cultures has become an important part of serving your patients.

Important Updates

Asthma action plans really work

Providing patients with a written asthma action plan is more effective in controlling asthma than providing self-management training alone.

BCBSF files for Medicare Part D program participation

BCBSF files for Medicare Part D program participation Blue Cross and Blue Shield of Florida (BCBSF) has filed an application with the Centers for Medicare and Medicaid Services (CMS) to become a provider of Medicare’s new Part D prescription drug program.

National IDs to replace

During the next two years, all covered health care providers must obtain a National Provider Identifier (NPI) and will be required to use the NPI beginning May 23, 2007, as mandated by the Health Insurance Portability and Accountability Act (HIPAA).

Personal reports offer a picture of health

Personal reports offer a picture of health Blue Cross and Blue Shield of Florida has developed a new Personal Health Report for its BlueOptions members.

Test diabetics for microalbuminuria

Diabetic nephropathy occurs in up to 40 percent of patients with diabetes and is the single leading cause of end-stage renal disease (ESRD).

Products and Services

BlueOptions injectable drug supplier program launched

On March 28, 2005, Blue Cross and Blue Shield of Florida (BCBSF) launched a new program to cover physicians participating in NetworkBlue who administer injectable medications in their office but do not wish to buy the medication and bill BCBSF.

Diagnostic imaging guidelines now online

Does your practice meet the minimum standards recommended by industry experts and independent accrediting organizations for performing imaging services in your office?

Healthy Lifestyle Rebate Program enrollment begins

Enrollment began April 1 for Blue Cross and Blue Shield of Florida (BCBSF) and Health Options groups and members who are eligible for our new “Healthy Lifestyle Rebate” program.

Join the growing number of physicians using e-Medicine

How can you save time AND give your patients a secure, convenient way to schedule appointments, get normal lab and test results, refill prescriptions and consult with you for non-urgent minor ailments without coming into your office?

Blue Card

Claims handling is improving

The Blue Cross and Blue Shield Association continues to work on improving the BlueCard® Program, which handles out-of-area claims.

Billing and Claims

ClaimCheck updated

On April 23, Blue Cross and Blue Shield of Florida upgraded its version of ClaimCheck®, the automated procedure code editing system used as part of our professional claims processing procedure.

Incorrect member ID, date of birth errors cause claims to reject

A common reason for claim returns is submission of an incorrect member/contract number or a date of birth mismatch.

Need to submit a pre-service request?

Blue Cross and Blue Shield of Florida offers a Voluntary PPO Pre-Service Coverage Review program to help you and your patients with coverage questions regarding certain elective procedures and services.

Electronic Solutions

Availity listened to your feedback!

Availity®1 has redesigned its home page with the help of your feedback. A banner displays important information. New links replaced the Message Center and were added for training and reference documentation and health plan partners.