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Additional Announcements

*BCBSM Updates*

Reminder: Commercial PPO Blueprint Funding Allocation to start 7/1/2023

In order to fund the Commercial PPO Blueprint risk pool, Blue Cross will introduce a 1.5% risk allocation for Commercial PPO professional fees. The 1.5% risk funding allocation will begin July 1, 2023 and will be off-set by an overall professional fee schedule increase of 1.5%. Please make your billers aware of the professional fee schedule increase of 1.5% see below article for details:

https://www.bcbsm.com/content/dam/microsites/corpcomm/provider/the_record/2023/apr/Record_0423j.shtml 

 

*MDHHS Announcement*

Michigan’s new Prior Authorization (PA) law, signed into law last year by Governor Gretchen Whitmer, took effect June 1, 2023. The new law includes a requirement for health insurers and health care providers to review and submit PAs online, faster PA processing timelines, and new peer review and clinical validity requirements. The law also puts in place new transparency requirements, including a requirement for health insurers to notify contracted health care providers of any new or amended PA requirement or restriction prior to the requirement or restriction taking effect. These changes only apply to commercial insurance policies regulated by the Michigan Department of Insurance and Financial Services (DIFS), and do not affect Medicaid, Medicare, Medicare Advantage, or self-funded health plans. For more information about the new law, visit the DIFS’ Prior Authorization FAQ page.

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*Priority Health Announcement*

Verify your providers’ information with BetterDoctor, NPPES 

In the coming weeks, your provider offices can expect to hear from BetterDoctor as they work to verify the provider information in Find A Doc, our online provider directory. This quarterly outreach process will be familiar to many of your providers because we do this today with another vendor. Learn more about BetterDoctor. 

What if the information BetterDoctor shares is wrong? 

Provider offices should submit updates for any incorrect information through prism. Or if your organization has a delegated arrangement with us, make changes through your existing process. Find more information on reporting provider changes

Don’t forget to check NPPES 

Don’t forget to review your providers’ National Provider Identifier (NPI) data in the National Plan & Provider Enumeration System (NPPES) as soon as possible. Providers are legally required to keep their NPPES data current, updating information within 30 days of a change. Here are a few tips for your NPPES update

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Featured Events 2023

 

January 18: Lunch and Learn

March 15: Lunch and Learn

April 19: Lunch and Learn

May 17: Lunch and Learn

May: Insurance Symposium 

June 21: Lunch and Learn

July 19: Lunch and Learn

August 17th: Golf Outing CANCELLED

September 20: Lunch and Learn

October 18: Lunch and Learn

October 26: Annual Meeting

November 15: Lunch and Learn

December 20: Lunch and Learn

 

**Please be advised that these dates are subject to change. There will be an additional flyer sent out to RSVP to these dates as they come available. Not all meetings will apply to your Practice**

 

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Get a Flu Shot!! Patients can call or visit:

Valerie Borntrager at Dr. Kostecke M.D. P.C.

Office- (248)676-0991

Fax- (248)676-9862

Need a log-in?  Click here for a log-in form!

Need to fill out an Electronic Funds Transfer Form? Click here for the EFT Form!