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Ancillary
Specialty topics and courses dedicated to our Ancillary healthcare delivery partners.
Featured Course
Find all you need to know about set billing guidelines for Durable Medical Equipment in our “BCBSA Ancillary Billing for Durable/Home Medical Equipment (DME)” course. Learn about the guidelines set by BlueCross BlueShield Association (BCBSA), claim submission scenarios, and claim and payment guidelines.
Select a category to expand:
Self-Paced Module | 15 minutes | Air Ambulance Providers
An overview of information Air Ambulance transport services need to work with CareFirst.
- Contract Methodology
- Reimbursement Criteria
- Authorizations
- Claim, Inquiries, and Appeal Information
Self-Paced Module | 15 minutes | ASC Providers
An overview of information Ambulatory Surgical Centers (ASCs) need to work with CareFirst.
- Contract Methodology
- Reimbursement Criteria
- Authorizations
- Care Management
- Claim, Inquiries, and Appeal Information
Ambulatory Surgery Centers (ASC)
Webinar | 10 minutes | Ambulatory Surgery Centers
Learn about ASC Contracts, Appeals, Updates and Reminders, and more.
Addiction and Hope: Setting Goals on Prevention, Harm Reduction, and Recovery
Webinar | 30 minutes | Behavioral Health Providers
Learn more about how addiction happens, and how to create goals to reduce harm and encourage recovery. Moderated by Ashley Johnson. Guest speaker Jim McCloone.
Addressing Youth Substance Use and Substance Use Disorder
Webinar | 50 minutes | Behavioral Health Providers
Learn more about the relationship between substance use and age, the impact substance use has on adolescent development, and screening tools that can aid in SUD recovery in adolescents. Moderated by Ashley Johnson. Guest speaker Marc Fishman, M.D.
Alcohol Use Disorder and Liver Disease
Webinar | 30 minutes | Behavioral Health Providers
Learn about alcoholic liver disease (ALD) and how to manage the stress and anxiety of liver transplants.
Self-Paced Module | 15 minutes | Behavioral Health Providers
An overview of information behavioral health/substance use disorder (BSD) practitioners and facilities need to work with CareFirst.
- Contract Methodology
- Authorizations
- Care Coordination
- Claim, Inquiries, and Appeal Information
Behavioral Health/Substance Use Disorder (BSD)
Webinar | 10 minutes | Behavioral Health/Substance Use Disorder Facilities
An overview of Prior Authorizations/Notifications, Claims, Appeals, Updates and Reminders and more.
Defining Success: Measuring Meaningful Outcomes
Webinar | 50 minutes | Behavioral Health Providers
Learn more about how to implement, define, and measure treatment success and outcomes.
Dialectical Behavioral Therapy Adaptations
Webinar | 30 minutes | Behavioral Health Providers
Learn more about dialectical behavioral therapy (DBT), modes of treatment, and DBT adaptations. Moderated by Ashley Johnson. Guest speaker Rebecca Blake.
Webinar | 30 minutes | Behavioral Health Providers
Learn about core concepts pertaining to the neurobiology of addiction, and gain an overview of some resources, talking points that you can share with your patients in an accessible way.
Practical Assessment Tools to Strengthen Your Clinical Care
Webinar | 50 minutes | Behavioral Health Providers
Learn more about evidence-based care models and how to incorporate them into your clinical practice. Moderated by Ashley Johnson. Guest speaker Chad Wetterneck.
Recognizing the Signs of Addiction
Webinar | 30 minutes | Behavioral Health Providers
Learn about how alcohol addiction as an equal opportunity risk, and how to recognize the variables that can influence addiction. Moderated by Ashley Johnson. Guest speaker Jim McLoone.
Substance Use Risks Hiding in Plain Sight
Webinar | 30 minutes | Behavioral Health Providers
Learn about how dangerous and harmful substances can slip into communities under the guide of wellness, legality, and profit. Moderated by Ashley Johnson. Guest speakers Jill Carter and Jim McCloone.
Self-Paced Module | 15 minutes | Dialysis Providers
An overview of information Dialysis facilities need to work with CareFirst.
- Contract Methodology
- Reimbursement Criteria
- Authorizations
- Claim, Inquiries, and Appeal Information
BCBSA Ancillary Billing for Durable/Home Medical Equipment (DME)
Self-paced Module | 10 minutes | DME Providers
Learn about the set billing guidelines for DME providers.
- Background of the BlueCross BlueShield Association (BCBSA) implemented guidelines
- Claim submission guidelines and scenarios
- Filing electronic and paper claims
- Claim and payment guidelines
Self-Paced Module | 15 minutes | DME Providers
An overview of information DME suppliers need to work with CareFirst.
- Contract Methodology
- DME inclusions and exclusions
- Policy guidelines
- Authorizations
- Case Management
- Claim, Inquiries, and Appeal Information
Durable Medical Equipment (DME) & Supplies
Webinar | 10 minutes | Durable Medical Equipment Suppliers
An overview of information DME suppliers need to work with CareFirst BlueCross and BlueShield and CareFirst BlueChoice, Inc. (collectively "CareFirst") including authorizations, claims, available resources and much more!
Self-Paced Module | 15 minutes | Home Health Providers
An overview of information home health agencies need to work with CareFirst.
- Contract Methodology
- Reimbursement Criteria
- Authorizations
- Care Management
- Claim, Inquiries, and Appeal Information
Self-Paced Module | 15 minutes | Home Infusion Therapy Providers
An overview of information Home Infusion Therapy (HIT) providers need to work with CareFirst.
- Contract Methodology
- Drug Specific Guidance
- Requests for Therapies
- Authorizations
- Case Management
- Claim, Inquiries, and Appeal Information
Self-Paced Module | 10 minutes | Hospice Providers
An overview of information hospice agencies need to work with CareFirst.
- Contract Methodology
- Reimbursement Criteria
- Authorizations
- Claim, Inquiries, and Appeal Information
Webinar | 10 minutes | Hospice Facilities
Learn about hospice contract information, prior authorizations, corrected claims, inquiries, and appeals, billing requirements, and more.
BCBSA Ancillary Billing for Independent Clinical Laboratories
Self-paced Module | 10 minutes | Independent Clinical Laboratories
Learn about the set billing guidelines for Independent Clinical Laboratories.
- Background of the BlueCross BlueShield Association (BCBSA) implemented guidelines
- Claim submission guidelines and scenarios
- Filing electronic and paper claims
- Claim and payment guidelines
Skilled Nursing Facilities (SNF)
Self-Paced Module | 15 minutes | SNF Providers
An overview of information skilled nursing facilities need to work with CareFirst.
- Contract Methodology
- Federal Employee Programs (FEP)
- Referral Process
- High-cost drug reimbursement
- Authorizations
- Claim, Inquiries, and Appeal Information
Skilled Nursing Facilities (SNF)
Webinar | 10 minutes | Skilled Nursing Facilities
An overview of Authorizations, Claims, Updates and Reminders and more.
Entering Electronic Authorizations (SNF and Hospice)
Webinar | 10 minutes | Skilled Nursing Facilities and Hospice
Learn how to enter prior authorizations, receive immediate Auth ID numbers, attach clinicals to the prior auth, and monitor the status of your authorization online.
BCBSA Ancillary Billing for Specialty Pharmacy
Self-paced Module | 10 minutes | Specialty Pharmacy Providers
Learn about the set claims filing guidelines for specialty pharmacy providers.
- Background of the BlueCross BlueShield Association (BCBSA) implemented guidelines
- Claim submission guidelines and scenarios
- Filing electronic and paper claims
- Claim and payment guidelines