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Preauthorization and Prior Approval Clarification for Psych/Sub
February 20, 2009. Runs 3:22; 6.48 MbKnowing when you need a referral, preauthorization or prior approval for psych/sub can be confusing. Susan Schmidt of Blue Cross Blue Shield of North Dakota's Medical Management department explains the process....

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Real Time Vision Claims Help Providers
May 21, 2008. Runs 5:12; 3.57 Mb- What is a real time vision claim and why is it beneficial to providers and patients? Steve Lindemann of the Provider Networks area explains how providers can submit a vision claim while a patient is in the office and receive a response before the patient leaves. This allows members to know what their bill is going to be before they walk out the door....

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TRICARE Seminars
March 16, 2009. Runs 2:25; 4.44 MbBCBSND is encouraging providers and office staff to attend TRICARE provider education seminars that are being held across the state. Lori Rustad of Blue Cross Blue Shield of North Dakota's Provider Education department details what you can expect....

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[ Mon, 16 Mar 2009 08:00:00 CST ]


Isotretinoin Quality Improvement Project
December 29, 2008. Runs 4:40; 3.21 MbBCBSND recently launched a quality improvement project to insure women who use the prescription, isotretinoin, will have their contraceptives covered. Brent Solseng, a pharmacist educator at BCBSND, tells us more about the harmful affects isotretinoin can have on women of childbearing age. Solseng also has important tips for providers regarding the isotretinoin claims process....

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[ Mon, 29 Dec 2008 08:00:00 CST ]


Health and Wellness
November 12, 2008. Runs 4:35; 3.15 MbBCBSND is dedicated to health and wellness. That's why BCBSND is encouraging the provider community to promote several wellness tools. Research proves that wellness programs work and can ultimately reduce health care costs. Mike Carlson of BCBSND Corporate Wellness describes the various programs....

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[ Wed, 12 Nov 2008 08:00:00 CST ]


THORConnect.org Is Up and Running
October 15, 2008. Runs 5:11; 3.57 MbBlue Cross Blue Shield of North Dakota is working to simplify provider's top tasks. The new web site, THORConnect.org, is now available to help providers get their job done easier and faster....

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[ Wed, 15 Oct 2008 08:00:00 CST ]


MediQHome Quality Program
October 1, 2008. Runs 5:33; 3.81 MbProviders can now enroll in Blue Cross Blue Shield of North Dakota's new quality improvement initiative, MediQHome. This program is designed to promote and sustain a patient centered medical home approach to the delivery of primary care to citizens in the state and surrounding counties....

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[ Wed, 1 Oct 2008 08:00:00 CST ]


Online Reporting
September 10, 2008. Runs 3:54; 2.68 MbBlue Cross Blue Shield of North Dakota has received feedback from physicians regarding online reporting and is making changes to fit their needs. Jodi Carlisle of the Health Informatics area details the differences....

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[ Wed, 10 Sep 2008 08:00:00 CST ]


Immunization Guidelines
August 27, 2008. Runs 5:03; 3.49 MbThe Advisory Committee on Immunization Practices (ACIP) has released the 2008/2009 immunization guidelines. Brent Solseng of the Medical Management area explains the significant changes in this year's recommendations....

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[ Wed, 27 Aug 2008 08:00:00 CST ]


Pharmacy Programs
August 13, 2008. Runs 4:08; 2.84 MbBCBSND provides several pharmacy programs to educate providers about the cost-effectiveness of generic drugs for patients. Brent Solseng of the Medical Management area explains the generic and medication adherence programs, the drug formulary and specialty pharmacy....

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[ Wed, 13 Aug 2008 08:00:00 CST ]


Immunization Billing Changes
July 30, 2008. Runs 4:51; 3.33 MbBlue Cross Blue Shield of North Dakota providers are now required to purchase vaccines and handle billing for immunizations given to children in the state. Since January 1, the North Dakota Department of Health discontinued supplying childhood vaccines free of charge to providers. ...

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[ Wed, 30 Jul 2008 08:00:00 CST ]


Advanced Medical Home Project Update
July 16, 2008. Runs 7:10; 5.93 MbAdvanced medical home is a statewide project using a patient-centered "medical home" care approach to ensure that members receive the primary health care they need to improve the quality of their lives. Dr. Jon Rice of BCBSND's Medical Management area tells us about the project, its aims, start date and how it may affect members....

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[ Wed, 16 Jul 2008 08:00:00 CST ]


Pharmacy Reports Update
July 2, 2008. Runs 5:41; 5.41 MbBlue Cross Blue Shield of North Dakota works to improve communication with providers. Now, pharmacy reports will be distributed on a quarterly basis to give providers a more timely assessment of their prescribing profile....

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[ Wed, 2 Jul 2008 08:00:00 CST ]


2008 Diabetes Care Provider Achievement Awards
June 18, 2008. Runs 7:41; 5.28 MbBlue Cross Blue Shield of North Dakota and the North Dakota Department of Health's Diabetes Prevention and Control Program have awarded 2008 North Dakota Diabetes Care Provider Achievement plaques to 207 providers and 7 clinics....

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[ Wed, 18 Jun 2008 08:00:00 CST ]


HealthCare Forums Recap
June 4, 2008. Runs 4:31; 3.11 Mb The 2008 Blue Cross Blue Shield of North Dakota HealthCare Forums were held in Bismarck and Fargo in May. Kim Grimley of Provider Services tells us more about the event....

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[ Wed, 4 June 2008 13:00:00 GMT ]


Advanced Medical Home Project
May 7, 2008. Runs 6:52; 4.73 Mb - Advanced medical home, is a patient-centered, physician guided model of health care. Dr. Jon Rice of Blue Cross Blue Shield of North Dakota's Medical Management area tells us why BCBSND is looking at the option of promoting this project....

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[ Wed, 7 May 2008 08:00:00 GMT ]


Medication Compliance Campaign
April 23, 2008. Runs 7:03; 4.85 Mb - Medical literature calls medication compliance the missing vital sign. Brent Solseng of BCBSND's Medical Management area tells us what BCBSND is doing to help prescribers and pharmacists deliver medication compliance education to patients....

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[ Wed, 23 Apr 2008 08:00:00 GMT ]


The Importance of Provider Pharmacy Reports
April 9, 2008. Runs 6:34; 4.52 Mb - Pharmacy reports give participating providers a detailed description of their prescription trends, allowing for more complete information when providing services. Brent Solseng and Jodi Carlisle of BCBSND's Medical Management area tell us why pharmacy reports are such an important tool for providers....

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[ Wed, 9 Apr 2008 08:00:00 GMT ]


Reference Lab Billing
March 26, 2008. Runs 5:29; 5.29 Mb - A large number of providers may not be getting appropriate reimbursement for reference lab billing. Holly Prodoehl of BCBSND Provider Education tells us what providers need to do to ensure their reference lab costs are covered....

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[ Wed, 26 Mar 2008 08:00:00 GMT ]


May 23 is the NPI Compliance Deadline
Posted March 12, 2008. Runs 6:10; 4.24 Mb - Are you ready for the National Provider Identifier (NPI) implementation? Cindy Fischer of BCBSND Provider Networks tells you what you need to know about deadlines and usage. We'll also tell you why an NPI is needed....

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[ Wed, 12 Mar 2008 08:00:00 GMT ]


BCBSND partners with UND for lung cancer study
Posted February 27, 2008. Runs 8:18; 5.70 Mb - The effect of statin use on brain metastasis in lung cancer patients could change the future of health care. Members of Blue Cross Blue Shield of North Dakota’s Medical Management department have partnered with UND to conduct a study to see if it is beneficial for lung cancer patients to take statins....

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[ Wed, 27 Feb 2008 08:00:00 GMT ]


Migraine Treatment: Under diagnosed and under treated
Posted February 13, 2008. Runs 6:13; 4.27 Mb - More and more people are suffering migraines, yet the condition is under diagnosed and under treated. Brent Solseng of the Blue Cross Blue Shield Medical Management area tells us the key points for providers regarding migraine treatment....

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[ Wed, 13 Feb 2008 08:00:00 GMT ]


Medical Policy Development
Posted January 30, 2008. Runs 7:53; 5.43 Mb - The medical field is constantly changing and medical policies need to keep up with those changes. Kathy Kath of the Medical Management area talks about how medical policies are developed and how you can be involved in the process....

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[ Wed, 30 Jan 2008 08:00:00 GMT ]


2007 Year End Summary
Posted January 16, 2008. Runs 7:24; 5.09 Mb - 2007 was a busy year for providers in North Dakota. The health care industry is transforming in ways that effect providers in how they obtain information from Blue Cross Blue Shield, as well as perform their administrative work....

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[ Wed, 16 Jan 2008 08:00:00 GMT ]


Cancer/Transplant Blue Distinction Centers
Posted January 02, 2008. Runs 5:29; 3.78 Mb - The demand for transplants continues to grow nationwide, as does the need for doctors who are skilled at treating complex and rare cancers. Blue Distinction Centers have been developed to improve the overall quality of specialty care for Blue members, and to help enable consumers to make a better informed decision in selecting providers....

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[ Wed, 02 Jan 2008 21:30:00 GMT ]


Cardiac Blue Distinction Centers
Posted December 19, 2007. Runs 4:28. 3.07 Mb - While the need for quality cardiac are has never been greater, providers may vary in terms of their years of experience, the number and type of cardiac procedures they have performed, as well as how they evaluate and treat cardiac patients. Blue Distinction Centers for cardiac care have been developed to improve the overall quality of specialty care for Blue members, and to help enable consumers to make a better informed decision in selecting provid...

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[ Wed, 19 Dec 2007 21:30:00 GMT ]


Bariatric Blue Distinction Centers
Posted December 5, 2007. Runs 5:11. 3.6 Mb - Blue Distinction Centers are centers of excellence for specialty care services, including bariatric surgery, rare and complex cancers, cardiac care and Transplants. The number of bariatric surgeries performed in recent years has increased rapidly. BDC for bariatric surgery are a key part of Blue Cross Blue Shield's effort to join forces with hospitals to ensure the greatest care for members....

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[ Wed, 05 Dec 2007 21:30:00 GMT ]


Blue Distinction Centers are "centers of excellence"
Posted November 21, 2007. Runs 4:47, 3.3 Mb - The Blue Cross Blue Shield Association is honoring the best hospitals in its network with a Blue Distinction Center title. Each center is selected through a rigorous evaluation of clinical data that provides insight into the facility's structures, processes, and outcomes of care. Currently the association has designated centers for bariatric surgery, cardiac care, and transplant surgery....

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[ Wed, 21 Nov 2007 21:30:00 GMT ]


Staying healthy during cold and flu season
Posted November 8, 2007. Runs 6:25, 4.4 Mb - With the flu season upon us, it’s important to protect ourselves and others. Brent Solseng of Blue Cross Blue Shield of North Dakota Medical Management area tells us what we can do to avoid getting the flu, and what other fall and winter-time illnesses we need to be on the look out for. Also find out what programs Blue Cross Blue Shield of North Dakota is behind to ensure patients are protected....

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[ Wed, 07 Nov 2007 21:30:00 GMT ]


Real time claims make doctor visits real easy for providers and patients
Posted October 24, 2007. Runs 4:53, 3.4 Mb - What is a real time claim and why is it good for providers and patients? We hear from Steve Lindemann of the Provider Networks area. He explains how providers can submit a real time claim to BCBSND and affiliates while a patient is in the office. Providers then receive a response to that claim before leaving the clinic or provider’s office. This allows our members to know what their bill is going to be before they walk out the door....

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[ Wed, 24 Oct 2007 21:30:00 GMT ]

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