January February 2023 BCN Provider News **
Farewell, web-DENIS; Hello Availity Essentials
Billing changes coming for COVID-19 treatment protocols
Prior authorizations & billing reminders for SNF interrupted stays
2022 DECEMBER 6 - PROVIDER ALERT
On Dec. 6, 2022, we posted a provider alert that tells providers that when submitting BCN Advantage claims for professional services, they must include the rendering provider taxonomy code on the claim along with the billing provider taxonomy code.
Professional claims submitted without the rendering provider taxonomy code will be denied. Providers will need to resubmit them with the rendering provider taxonomy code included.
Review the entire provider alert for additional details. It's available on our secure Provider Resources site, which is accessible through Availity.
First Tier, Downstream and Related Entities (FDRs) must provide general compliance and fraud, waste and abuse training to employees within 90 days of initial hiring and annually thereafter. Click here for more information about it.
There are separate fax lines for Aetna Better Health of Michigan members and Michigan Medicare-Medcaid Plan members for authorization requests.
For ABH, which includes HealthyMI and MI Medicaid submit request: 1-866-603-5535
For Michigan Medicare-Medicaid Plan (MMP) member, which includes MI Health Link Medicare and MI Health Link Medicaid: 1-844-241-2495
LINK TO Aetna Better Health of Michigan provider site
Aetna Provider Manuals
Medicaid-Medicare - link
They also publish a Resource Sheet that you would want to print out - link
This is a great resource to guide you through using Molina's Web Portal. It is a comprehensive guide that not only includes how to access claims, appeals and a member roster plus much more!
We want to share the video of this event that occurred November 2022. Link
2023 Commercial and Medicare product information for providers guide (pdf)
This link provides a link to previous Physician & Practice News as well as the Medicare/Medicaid Quality newsletters.
There are several videos that can help you with various topics. Click here to find information on:
We are currently in negotiations to get just the right contract for you and your practice! Please contact Shawn Williams if you are interested in the timeline and details. He can be reached at email@example.com or call 248-957-6726