An Independent Licensee of the Blue Cross and Blue Shield Association All Payers Workshop Blue Cross and Blue Shield of Kansas December 9, 2011.

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Presentation transcript:

An Independent Licensee of the Blue Cross and Blue Shield Association All Payers Workshop Blue Cross and Blue Shield of Kansas December 9, 2011

Introduction and Today's Presenters  Connie Winkley, Education Coordinator, Institutional Provider Relations, Blue Cross and Blue Shield of KS  Cindy Garrison, CPC Provider Consultant, Institutional Provider Relations, BCBSKS, Hospitals in Northern Kansas  Denny Cassel Hartman, CPC, Provider Consultant, Institutional Provider Relations, BCBSKS, Hospitals in Southern Kansas  Marie Burdiek, EDI Account Representative, EDI Operations, Blue Cross and Blue Shield of Kansas

AGENDA and UPDATES  Blue Cross and Blue Shield of Kansas Availity ICD-10  CPT Code Changes for 2012  EDI - Electronic Data Interchange HIPAA 5010  TRICARE/TriWest

BCBSKS Updates  Availity BCBSKS Member's Eligibility and Claim Status will move to Availity in 2012 Multiple Payer Portal Pilot Groups Complete – Feedback Received Future BCBSKS functions through Availity

BCBSKS Updates  ICD-10 BCBSKS' vendor status BCBSKS intends to follow CMS guidelines Begin testing 2 nd Quarter 2013 Information on Web  Newsletters  GEM Tool Roadmap being developed BCBSKS leading the way

BCBSKS Update 2012 CPT Code Updates

EDI Update  HIPAA 5010 The compliance date is January 1, 2012 HIPAA 5010 information is found on the EDI home page at - Only 23 days left!

TriCare/ TRIWEST Updates  Webinars/ eSeminars  TriWest Website Demos  Cut the Cord  Don't Wait – Update!  Share your address  Secure Provider Portal  TriWest's Secure Website  TRICARE Programs

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