Provider News

A newsletter for Highmark Blue Shield of Northeastern New York (Highmark BSNENY) network providers

Issue 5, May 2023

IN THIS ISSUE:

General News
Interview with Kate Musler, SVP, Provider Network and Payment
COVID-19 Vaccine Reimbursement Update
New Video Series: Tips for Disease Burden Capture
New Start Date for Emergency Department Claim Audits
Facility Claims for Medical Injectables: Site of Care Issues
Case Management Referrals
Reference Guide of Highmark Member Programs
Policy Reminders: Transitions of Care, Qualified Medicare Beneficiaries, and More
Short Takes: Credentialing and New PDM Tool
Reimbursement, Claims & Billing
New and Updated Reimbursement Policies
Authorization Updates
Administrative News
Staying Up to Date With the Highmark Provider Manual

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TOP STORIES:

Covid-19 Reimbursement

Disease Burden Capture Video

Emergency Department Claim Audits

Reference Guide

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General News Interview with Kate Musler, SVP, Provider Network and Payment COVID-19 Vaccine Reimbursement Update New Video Series: Tips for Disease Burden Capture New Start Date for Emergency Department Claim Audits Facility Claims for Medical Injectables: Site of Care Issues Case Management Referrals Reference Guide of Highmark Member Programs Policy Reminders: Transitions of Care, Qualified Medicare Beneficiaries, and More Short Takes: Credentialing and New PDM Tool

Reimbursement, Claims & Billing New and Updated Reimbursement Policies Authorization Updates

Administrative News Staying Up to Date With the Highmark Provider Manual

Highmark Blue Shield of Northeastern New York is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association.