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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.


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Air Ambulance

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

Ambulatory Surgical Center

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.


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.


Behavioral Health

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.


Emerging Substances of Abuse

Webinar | 30 minutes | Behavioral Health Providers

Learn about xylazine and tianeptine, its impacts on users, and the supportive measures you can take to treat these patients.


Medication Assisted Therapy

Webinar | 30 minutes | Behavioral Health Providers

Moderated by Ashley Johnson. Guest speaker Lindsey Romero, MD, FASAM.


Nicotine Addiction

Webinar | 30 minutes | Behavioral Health Providers

Learn about supporting patients as they find motivation to quit and stay quit from nicotine addiction.


Nutrition in Psychiatry

Webinar | 30 minutes | Behavioral Health Providers

Gain a greater understanding of nutritional psychiatry and its connection with mental health.


Psychodynamic Psychopharmacology

Webinar | 30 minutes | Behavioral Health Providers

How patients experience the symptoms of their mental diagnosis while using evidence based psychiatric solutions to navigate their treatment.


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.


Stop Fighting, Start Healing - Straight Talk About Drugs and Alcohol

Webinar | 30 minutes | Behavioral Health Providers

Moderated by Ashley Johnson. Guest speaker Debbie Korte from Navigator Healthcare, Inc.


Transcranial Magnetic Stimulation and Spravato for Treatment Resistant Depression

Webinar | 30 minutes | Behavioral Health Providers

Learn about the role that transcranial magnetic stimulation has in the clinical journey of treatment resistant depression.


Dialysis Facilities

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

DME

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!


Home Health

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

Home Infusion Therapy

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

Hospice

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

Hospice

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