2009 Spring Provider Conferences
Blue Cross and Blue Shield of North Carolina (BCBSNC) is a leader in delivering innovative health care products, services and information to more than 3.7 million members, including approximately 900,000 served on behalf of other Blue Plans. For 76 years, the company has served its customers by offering health insurance at a competitive price and has served the people of North Carolina through support of community organizations, programs and events that promote good health. We recognize and value the care and commitment made by North Carolina providers sharing in our common goal for improving the health of the people of our State. During this time of economic awareness our shared commitments unify us even further, as affordability and preventable expenditure join the forefront of our combined health care efforts. During the months of May and June, we invited you to come to provider conferences held across our State, so that we could explore together ways of better administrative interactions and exchange ideas for an improved focus on care delivery. We hope that you were available to attend and that you found the conference enjoyable and informative. If however, you were unable to attend - we're sorry that we missed you. In either case, we appreciate you're visiting us on the Web and invite you to please view the conference presentations from our 2009 provider focused sessions.
Please note that the information contained in the below presentations was developed and current for the May-June 2009 conferences.
View this presentation to find information about news and issues affecting providers who care for BCBSNC members. If it's happening at BCBSNC, we covered it in the General Session.
Included as part of the general session was an overview of electronic data transactions. The presentation was designed for audience participation and formatted based on a popular television game show. Please select the link above to view a copy of the questions asked of the contestants and the corresponding answers to those questions.
Whether you're a seasoned professional at filing BCBSNC claims and reconciling accounts, arranging care for your patients with BCBSNC health care benefits or you're just starting out, this presentation is for you. BCBSNC Best Practices offers a comprehensive overview of BCBSNC, including new initiatives and methods to improve your claims response time and save administrative costs for your health care business.
The BlueCard® program was introduced in 1994 (15 years ago) to allow Blues' members traveling or living in another BCBS Plan's service area the ability to receive the same health care benefits and services that they would with their home BCBS Plan. Today BlueCard® is part of Inter-Plan Programs, which includes BlueCard® and other national accounts. Please view the Inter-Plan Programs presentation to learn more about arranging care and providing services to the approximately 900,000 BlueCard® members eligible for care within North Carolina.
BCBSNC continues to improve and enhance Blue eSM. At the conferences eSolutions staff was excited to share new capabilities and provide training on enhancements that included registration for Electronic Funds Transfer (EFT), Fee Schedules, accessing Notification and Explanation of Payments (NOP/EOP) to support paperless processes. Also, hospital staff received training on the new Authorization Request link available in Blue eSM. This link replaces the Admission Notification transaction. Providers also were given a preview of the new Blue eSM Home Page scheduled to be implemented later in the year. This presentation is for all Blue eSM users. Don't miss out on the opportunity to view the training and learn of the new exciting features to improve your electronic interactions with BCBSNC!
Are you challenged finding enough time to continually follow-up on your claims processes? Do you ever wonder what might be in that stack that could result in a payment? Is there never enough staff, hours in the day or time to get everything done? Harness the power of REAL revenue cycle management with specialists in the field - we are not your parents clearinghouse! RealMed®1 helps today's health care provider organizations run their practices better through a revolutionary revenue cycle management solution. RealMed®1 takes a unique approach to client service, partnering you with a highly-rated local support team. RealMed®1 empowers you to maximize revenue, minimize claims processing costs, increase user productivity and reduce the administrative burden placed on all practices. View the RealMed®1 presentation and see how easy it is to have more time and less administrative challenges.
If you're not already familiar with Blue Medicare HMOSM and Blue Medicare PPOSM products, you may want to find out what Blue Medicare plans have to offer. Blue Medicare products offer a choice of HMO and PPO health benefit plans to the eligible Medicare community. Blue Medicare products continue expansion within North Carolina and Blue Medicare plans are in more counties than ever before. If you're already seeing patients with a Blue Medicare coverage plan, this presentation will provide you with the necessary updates to manage their care more effectively.
SmartChoiceSM PPO is offered by the State of North Carolina for its employees and retirees - available as three preferred provider organization (PPO) plan options. Be sure to view the SmartChoiceSM PPO presentation to learn the latest news affecting State PPO Plan members and the providers that care for them.
This program offers an overview of updates and best business practices to help you better care for your patients enrolled in the Federal Employees Health Benefits Program.
The environment of health care delivery is changing as we speak, and together we must foresee and confront new challenges with expertise and cost efficiency. The Decision Maker session was designed specifically for office administrators and practice managers to learn about BCBSNC educational programs, problem solving, and current business trends affecting the health care businesses they manage.
Walgreens Specialty Pharmacy sponsored conference luncheons for guests at several regional locations. We appreciate Walgreens Specialty Pharmacy's participation and support in the 2009 BCBSNC provider conferences and invite our Web site visitors to select the link above to view information presented at select conference locations, which explains some of the many benefits Walgreens Specialty Pharmacy can offer to health care providers. The entire Care Team at Walgreens Specialty Pharmacy (pharmacists, nurses, care coordinators and insurance specialists) are available to assist with the needs of your patients. Walgreens Specialty Pharmacy is dedicated to making medication management easier for your patients, their caregivers and you - their health care providers. Walgreens Specialty Pharmacy offers patient support services that can help with; insurance benefit coordination, managing medication adherence and side effects, counseling and extra support needs, condition-specific bilingual materials, lowering administrative burden and continuity of care through staff. To find out more about what Walgreens Specialty Pharmacy can offer to you and your patients, please visit Walgreens Specialty Pharmacy on the Web at http://www.walgreenshealth.com/whc/clientPortal/spharm/jsp/spharm_home.jsp.
Information and descriptions contained in this BCBSNC Web posting about a company and/or brand (other than BCBSNC), which provided conference sponsorship, is not intended as endorsement of a particular company and/or brand and/or products and/or services available from any specific sponsor.