Tour of Blue Cross Blue Shield of Michigan and Blue Care Network November 2016

Transcription

1 Tour of Blue Cross Blue Shield of Michigan and Blue Care Network November 2016 Itinerary 1. Provider Newsletters 2. Provider Manuals 3. Provider Publications and Resources 4. e-referral 2 Go to bcbsm.com/providers. Click on Our Provider Newsletters. Choose from: The Record BCN Provider News Hospital and Physician Update Value Partnerships Update Dental Care News 3 4 Choose the topics you prefer: The Record All Providers Professional Facility Pharmacy Medicare Advantage DME Auto Groups Vision BCN Provider News Behavioral Health Billing/Claims Patient Care Pharmacy Referrals and Authorizations 5 6 1

2 7 forward the entire issue to a friend. Click for tips and tricks on using The Record. 8 find contacts. print the entire issue. Articles at the top of the issue focus on your topic area or are for all providers. Scan the article headlines and click on the ones you want to read. forward the article to a friend. go to The Record Archive. print the article The Record Archive includes all articles back to How to search

3 filter articles based on the topic category or by a date range move around the issue by: Clicking on a section Using the left and right arrows Clicking a page number : Scan the cover stories Click on the headlines linked on the cover Read tips on how to use it Go right to your favorite section 18 Notice how the section you re in is shown on the left and highlighted. scroll to view more articles. 3

4 19 Links in the issue are red. PDFs you can click on have a PDF symbol. 20 How to search The number of times in the issue and first instance are shown. Use arrows to click through. 21 All articles are shown in the index and are linked. print the entire issue or certain pages using your browser. 22 The BCN Provider News links to the entire issue, but includes article headlines of interest to you. bcbsm.com/bcn-provider-news WAIT Up to three years of issues are available. To search an entire year s worth of issues, use the Complete Annual Archive

5 Here are the results for searching for clinical editing for all of make the search box bigger by dragging a corner Each use of the term is shown in part of a sentence. If you see what you are looking for, click on it. Each use of the term is shown in part of a sentence. If you see what you are looking for, click on it Additional tips For best results, the BCN Provider News requires Adobe Reader 9.0 (or later), which can be downloaded for free at get.adobe.com/reader. The BCN Provider News Complete Annual Archive requires Adobe Flash Player. This is free also. A message will pop up offering a download d when you open the portfolio. The Record comes out on the last business day of the month for the following month s issue. BCN Provider News comes out the Wednesday before the odd numbered months. If you subscribe and don t get your , check your Junk or Spam folder. Mark the as Not Spam or add it to your Safe Senders List

6 It s easier to find the manuals now! The BCN Provider Manual The NEW page as of March 14 We simplified it! Notice the NEW chapter order! The most used chapters are now first. NEW links to other Blue Cross provider manuals!

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8 It s easier to find the manuals now! New links on the dashboard New Blue Cross provider manual updates and training page 45 and independent licensees of the Blue Cross and Blue Shield Association. 46 Improvements for selecting a Provider Type

9 When you return, your favorite provider type is preselected. Search now shows a spinning ball while search is loading Some chapters have been combined. The chapters have been reorganized. This chapter Blue Distinction Centers for Specialty Care Best Practices Cardiac Rehabilitation Services Problem Resolution ID Card Has been merged into this chapter Value Partnerships Medical-Surgical Services Hospital Services (of Outpatient Hospital manual) Appeals and Problem Resolution Patient Eligibility Most Frequently Accessed Chapters Provider-Specific Chapters Supporting Chapters Closer view of the new search. If you want to search more than one chapter Items in the table of contents are also links in all Blue Cross and BCN provider manuals. 53 and independent licensees of the Blue Cross and Blue Shield Association. 54 9

10 Remember: Only one word in a box Do not use the Topic search with the Provider Manuals Provider publications and resources Provider publications and resources

11 find the e-referral website at bcbsm.com/providers. Click on Quick Links. also find the e-referral website at There are links to the e-referral website on the Welcome page of Blue Cross Provider Secured Services Select BCN or Blue Cross from the home page. search either the full site or search only with BCN or Blue Cross content. The home page has referral articles that can be filtered to only show Blue Cross or BCN. 64 Also on the home page, you can log in to Blue Cross Provider Secured Services to access the electronic referral tool. And you can find resources for getting access or learning the e-referral tool. This page has BCNspecific referral information. The Blue Cross page currently only has information about the Blue Cross Personal Choice PPO product