PA Resources Portlet

Resources

CODING & DOCUMENTATION

EDUCATION & EVENTS

ENROLLMENT & CREDENTIALING

FORMS & MANUALS

HEALTHCARE INFORMATION & TECHNOLOGY

PATIENT HEALTH

PHARMACY

POLICIES & GUIDELINES

Advanced Imaging

Autism Spectrum Mandate

Behavioral Health

Blue Advantage Policies

Chronic Condition Management

Clinical Practice Guidelines

HelpScript

Hemophilia Drug Management

Medical Nutrition Therapy Services

Medical Policies

Medical Records Requests

No Surprise Billing Act

Operational Guidelines

Provider Appeals

Provider Disputes

Provider-Administered Drug Policies

Radiation Therapy Management (RTM)

Self-Administered Drug Policies

Subrogation

Telehealth and Remote Access Telemedicine

Transgender Services

PRE-SERVICE REVIEW

PROGRAMS & INITIATIVES

PROVIDER NETWORKS & SPECIALTIES

PA Dynamic Rendering

Operational Guidelines

Billing Services With Professional and Technical Components

There are a number of diagnostic x-ray procedures that have professional and technical components. Blue Cross and Blue Shield of Alabama requires global billing for services rendered in an in-office setting for diagnostic services.
Co-Surgeons and Team Surgeons

Under certain circumstances the skills of two surgeons (usually with different specialties) may be required in the management of a specific surgical procedure.
Drug Waste Guideline: Provider-Administered* Drugs or Biologicals
Low-Back Pain Imaging Studies and Modifier KX Operational Policy
Management of Hyperbilirubinemia in Newborns: Follow-Up Visits
Pediatric and Neonatal Critical Care Services and Intensive (Non-Critical) Care Services
PMD Providers in Contiguous Counties/Out-of-State Members

Blue Cross and Blue Shield of Alabama has claims processing rules for providers in contiguous counties to validate whether or not a member lives in Alabama.
Seasonal Vaccines
Surgery-Related Claims Filing Updates