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Pointing to solutions: Follow best practices for prescribing opioids

Faced with an epidemic of overuse and abuse, state and national policymakers are responding with more stringent guidelines for prescribing opioids for acute and chronic pain. Blue Cross Blue Shield of Arizona (BCBSAZ) supports coverage solutions that prioritize the safety and well-being of our members.

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In This Issue

Effective June 1: Penalties for failure to obtain precertification for certain infusion drugs

This is a reminder that starting June 1, 2018, penalties will apply if precertification, including a “site-of-service” evaluation, is not obtained for certain infusion drugs. Preferred sites of service for BCBSAZ members are nonhospital outpatient settings (i.e., physician’s office, free-standing infusion center, or the patient’s home).

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Control is the goal: A plan of care for patients with high blood pressure

The Healthcare Effectiveness Data and Information Set (HEDIS®) is a tool with a clear purpose: to measure performance on various dimensions of care and service in order to improve both healthcare delivery and health plans. In this HEDIS Hub article, we review clinical guidelines for controlling high blood pressure in adults.

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Are you at risk for medical identity theft?

The financial impact of medical identity theft on healthcare providers, consumers, and health plans is staggering, and the consequences don’t end there. To minimize your risk, it’s imperative to protect your medical identifying information, as well as your patients’ unique identifiers.

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Aim for a healthy balance of quality and efficiency

The “quality vs. quantity” equation plays out every day in your examination rooms. By recognizing and mastering this unspoken balancing act of providing care, you can help to promote more positive patient outcomes.

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Quarterly updates reminder: Fee changes and code edits

BCBSAZ will soon post notice of the July 1, 2018, quarterly fee schedule updates. Staying up-to-date on fee changes will help you submit claims accurately and efficiently. Also check for periodic changes to coding guidelines for our claims editing systems.

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Our members can take helpful plan information with them wherever they go with the AZBlue Mobile app.


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