Hwnybcbs.highmarkprc.com

Provider Resource Center

WEBPhysical Medicine Management. Effective May 1, 2024, New York providers will be required to request prior authorization for outpatient physical medicine and home …

Actived: 4 days ago

URL: https://hwnybcbs.highmarkprc.com/Care-Management-Programs/Physical-Medicine-Management-Program

Preventive MediWellslines

WEB2024 Preventive MediWellslines. Prenatal/Perinatal Guidelines. Children Ages 0-6 Guidelines. Children Ages 7-18 Guidelines. Adult Ages 19-64 Guidelines. Adult 65 and …

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Provider Resource Center

WEBInpatient: 833-581-1866. Outpatient: 833-581-1867. For precertification or continued stay review requests for Behavioral Health treatment, please submit relevant …

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Provider Resource Center

WEBBehavioral Health Application For Organizational Providers - This application is to be used by organizational providers only. Professional providers should …

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Highmark Will Be Moving to a New Provider Portal

WEBThe transition to Availity will happen in stages: August and September 2023: Highmark will engage a pilot group of providers to ensure a seamless transition. October 22, 2023: …

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Provider Resource Center

WEBHere's how: Earning CME Credits for VBC 101 Module. Part 1: Welcome to VBC 101 & Focus on Provider Collaboration. Karen Hanlon - Executive Vice President and Chief …

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Provider Resource Center

WEBChange of Ownership (CHOW) Form – This form is for Facility and Ancillary Providers to report any changes in ownership, which may include the Legal Name, Doing Business …

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Preauthorization Reminders and Updates: NaviNet, Imaging, and

WEBBeginning September 1, 2022, the New York State Office of Mental Health will implement new preauthorization criteria for inpatient behavioral health services for adults and …

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Highmark Responds to Change Healthcare Cyber Event: Funding …

WEBFunding Assistance Program. For participating providers who are experiencing cash flow concerns due to an inability to submit claims, Highmark has launched a Funding …

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New Video Series on Value-Based Care

WEBHighmark has launched a new Population Health University video series called Value-Based Care (VBC) 101, which provides an overview of our VBC methodology, …

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Provider Resource Center

WEBMedical Policy Update is a monthly newsletter for the health care providers who participate in our networks and submit claims to Highmark Blue Cross Blue Shield of Western New …

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New Clinical Vendor for the House Call Program: Signify Health

WEBYour patient’s health profile will be documented in a valid medical record, and you will receive a copy of the report and lab results (if applicable). In addition, a copy of the …

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PT, OT, Chiro, and Home Health: Prior Auth Changes Occurring on …

WEBFor Highmark Blue Cross Blue Shield members in commercial plans, providers will need to request authorization for outpatient physical medicine and home health services, …

Category: Medicine Go Health

New Billing Guidance for Behavioral Health Providers

WEBTo avoid claim denials and help you get paid correctly, behavioral health providers must now include the correct taxonomy and performing provider information (when applicable) …

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Expanded Credentialing Section: More Electronic Options

WEBThe expanded Credentialing section will enable medical providers to complete multiple credentialing forms and processes electronically from one web location, while …

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Chronic Conditions: Use Code 99499 for Additional Diagnosis Codes

WEBPlease use CPT code 99499 instead of 99080 to accurately capture a patient’s active chronic condition (s). It is important that you document all active chronic conditions and …

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