Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

December 17, 2012 S-11-12

The Blue Shield Report is

published by the professional relations department of Blue

Cross and Blue Shield of Kansas.

OUR WEB ADDRESS: http://www.bcbsks.com

Ann Dunn Communications Coordinator

Questions: Contact your professional relations representative or the professional relations hotline in Topeka at 785-291-4135 or 1-800-432-3587.

Acknowledgement: Current Procedural Terminology (CPT®) is copyright 2011 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT®. The AMA assumes no liability for the data contained herein. Applicable ARS/DFARS Restrictions Apply to Government Use.

Inside This Issue:

Reminders

Ineligible Providers ............................................................ Page 2 Ordering/Referring Provider Name and NPI ...................... Page 2

Updates

NOTICE: AMENDMENT to Policy Memo

No. 4 Effective Feb. 1, 2013 ........................ Page 2 Precertification .................................................................. Page 4 Claim Status Detail Information on Availity Update ............ Page 4 External Ocular Photography – 92285 ............................... Page 4 New Patient Conversion .................................................... Page 5 FEP Benefits for 2013 ....................................................... Page 6 State of Kansas Benefits for 2013 ..................................... Page 6 Place of Service Coding .................................................... Page 6 Too Many E-mails from Availity? ....................................... Page 6 Not on Availity Yet? ........................................................... Page 7 Web Changes – Medical Policy ......................................... Page 7

Pharmaceuticals

Formulary Update.............................................................. Page 8 Prescription Drug Changes for 2013 ................................. Page 8

Workshop Opportunities

2013 Provider Workshop Offerings ................................. Page 10

December 17, 2012 Blue Shield Report S-11-12 Page 2

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

Reminder

Ineligible Providers

This communication is a reminder (see Blue Shield Reports S-09-03 and S-4-10) that the following providers are not considered eligible providers as defined in the local Blue Cross and Blue Shield of Kansas (BCBSKS) member contracts or for the Federal Employee Program (FEP). Their services cannot be billed incident to an eligible provider if they provide services. Athletic trainers, massage therapists, exercise physiologists, occupational therapy aides, physical therapy aides and chiropractic assistants. Services performed by these specialties are considered patient responsibility and should not be billed to BCBSKS. Ordering/Referring Provider Name and NPI As stated in Policy Memo No. 1, the name of the ordering provider, when applicable, (including NPI or specific performing provider number, except when exempt by law) must appear on every claim. The ordering/referring provider’s name and NPI should appear in Box 17/17b of a paper claim. Referring provider information should be submitted in the 2310A and/or 2420F Loop, and ordering provider information should be submitted in the 2420E Loop. Please refer to the 837P implementation guide or contact your vendor for more information.

Updates

NOTICE: AMENDMENT to Policy Memo No. 4 Effective Feb. 1, 2013 The Accountable Care Act requires health plans to be accredited through one of two United States Department of Health and Human Services (HHS) approved accrediting entities in order to be designated a Qualified Health Plan (QHP), and

thus eligible to offer its products on the exchange. BCBSKS has chosen URAC as the approved entity through which we will pursue this accreditation. As part of that accreditation process, we must credential our provider network. Currently, BCBSKS only credentials the TRICARE network as part of our responsibilities in accordance to the TriWest Network Subcontractor agreement. In order to begin credentialing our CAP network, we must formally amend Policy Memo No. 4 of our contracting provider agreement to reflect the new process. The CAP contract requires a 30-day written notice to providers to change any Policy Memo. This newsletter article serves as the 30-day notice. BCBSKS is making this Policy Memo change off cycle to our annual changes due to the time table we are operating under to become accredited. Our network must be credentialed by the time we undergo the URAC on-site review scheduled in June 2014. We currently have 4,800 providers credentialed in TRICARE (also in CAP), and we will need to credential an additional 4,500 providers. Based on the new workload and the ongoing recredentialing volumes, we will need to begin the credentialing process effective February 1, 2013 in order to be completed in advance of the URAC on-site review.

December 17, 2012 Blue Shield Report S-11-12 Page 3

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

NOTICE: AMENDMENT to Policy Memo No. 4 Effective Feb. 1, 2013, continued If you are a provider who is not credentialed for TRICARE and do not have a Council for Affordable Quality Healthcare (CAQH) application, we encourage you to take this opportunity to complete the online CAQH application. This step will simplify your credentialing process when we begin credentialing the additional 4,500 providers. Access the CAQH online application at http://www.ksinsurance.org/industry/company/healthcomp.htm as referenced in the KID Bulletin 2007-2. Please contact us at 800-432-3587 or 785-291-4135, option 3, before completing the CAQH application to be assigned a CAQH ID number. A new section, VII. CREDENTIALING, will be added to Policy Memo No. 4. The verbiage for this new section follows: VII. CREDENTIALING

This process consists of an initial full review of the provider’s credentials at the time of application and at the time of recredentialing which occurs every 36 months. Credentialing criteria are available on the BCBSKS Web site at: http://www.bcbsks.com/CustomerService/Providers/Publications/professional/PolicyMemos/credentialing-criteria.htm

A. Initial/Recredentialing Applicant

The BCBSKS Corporate Credentials Committee (Committee) reviews each provider’s credentialing file in accordance with BCBSKS criteria, as well as BCBSKS and URAC standards. If a provider does not meet these standards or there is evidence that he/she does not adhere to BCBSKS policies and procedures, the Committee may deny or restrict participation in a BCBSKS network. If the provider disagrees with the denial or restriction and has additional information, he/she may request reconsideration by the Committee. In the absence of additional information, the provider may submit a written request for a first-level appeal.

B. Reconsideration If the Committee denies or restricts a provider’s participation status, the Committee will allow the provider to submit additional supporting documentation for reconsideration. If the denial or restriction is upheld by the Committee, the provider may submit a written request for a first-level appeal.

C. First-Level Appeal Panel All appealed disputes are referred to a first-level appeal panel consisting of at least three qualified individuals, of which at least one must be a participating provider who is not otherwise involved in network management and who is a clinical peer of the participating provider that filed the dispute.

D. Second-Level Appeal Panel If the First-Level Appeal Panel upholds the denial or restriction, the provider may submit a written request for a Second-Level Appeal. This provides consideration to a second-level appeal panel consisting of at least three individuals as defined in the first-level appeal panel and that were not involved with the first-level appeal panel.

The result of the appeals process shall be binding on the provider and BCBSKS subject only to the provision for binding arbitration previously stated in Policy Memo No. 1.

December 17, 2012 Blue Shield Report S-11-12 Page 4

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

NOTICE: AMENDMENT to Policy Memo No. 4 Effective Feb. 1, 2013, continued The Credentialing Criteria, as stated in the policy above, are available on the BCBSKS Web site, at the URL noted above. Those providers currently in a credentialing cycle as a result of participation in TRICARE need to do nothing. Your recredentialing will occur on the same 3-year cycle. The credentialing department will follow a schedule to credential all other providers. You do not need to do anything to initiate this process; you will be contacted when information is required. Only if a new provider joins your group after February 1, 2013 do you need to contact Provider Network Services, 800-432-3587 or 785-291-4135, option 3, to discuss the credentialing process for the new provider. Precertification Precertification is for inpatient admissions, home health, and hospice cases only. The Precertification line is now functioning with a new phone prompt system. These prompts provide a quick access to Customer Service, for callers with specific questions regarding drugs, DME, outpatient procedures, and testing. These services would be considered possible Pre-auth/Predetermination questions and are not a Precertification function. If you need to speak to someone regarding any of these functions, please remember to follow the prompts when calling 800-782-4437.

Claim Status Detail Information on Availity Update Changes are coming to the Availity web portal for contracting BCBSKS providers. Providers can look forward to finding claims status detail information on the Availity web portal for BCBSKS members in 1st Quarter 2013. Providers can continue to view the claim status detail information in BlueAccess until further notice. BCBSKS will notify providers who are signed up for the Latest News on our e-mail notification system (eNews) of this upcoming change in early 2013 when providers are able to view the BCBSKS claim status detail information on Availity. Register today to access Blue Cross and Blue Shield of Kansas member eligibility and benefits and claims inquiry through Availity, a multi-payer portal that gives providers secure access to multiple payers’ information. Visit www.availity.com for additional information and to get registered today.

External Ocular Photography – 92285 Photographs in general are used by a variety of providers as an optional method of documentation. With the exception of external ocular photography – 92285, photographs have been considered content of service and not separately reimbursed. Effective January 1, 2013, in keeping with reimbursement policy regarding photographs in general, BCBSKS will consider external ocular photography content to the E&M service, and not separately reimbursed.

December 17, 2012 Blue Shield Report S-11-12 Page 5

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

New Patient Conversion As outlined in Policy Memo No. 2, BCBSKS follows CPT rules for recognizing new patient visits: “a patient who is new to the practice/physician or a patient who has not been seen for three or more years. NOTE: Within a group practice, a consulting physician of a different specialty can bill a new patient office visit if the above criteria have been met. This does not apply to covering arrangements.” Effective January 1, 2013, BCBSKS will be converting any inappropriately billed new patient E&M to the corresponding established visit E&M. See crosswalk chart below:

NEW PATIENT RECODING CROSSWALK CHART NEW PATIENT

Office Visit Codes ESTABLISHED PATIENT

Office Visit Codes 92002 92012 92004 92014 99201 99212 99202 99213 99203 99214 99204 99215 99205 99215 99321 99331 99322 99332 99323 99333 99324 99334 99325 99335 99326 99336 99327 99337 99328 99337 99341 99347 99342 99348 99343 99349 99344 99350 99345 99350 99381 99391 99382 99392 99383 99393 99384 99394 99385 99395 99386 99396 99387 99397

December 17, 2012 Blue Shield Report S-11-12 Page 6

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

FEP Benefits for 2013 The FEP group renews on January 1, 2013. Benefit information can be located at the following link: http://www.fepblue.org/. Please review information for all changes. State of Kansas Benefits for 2013

The State of Kansas group renews on January 1, 2013. Benefit information is available on our Web site at: http://www.bcbsks.com/CustomerService/Members/State/index.htm.

Place of Service Coding Using the correct place of service (POS) code on the claim form is an integral part of claims processing, and is necessary to avoid incorrect/improper payments. BCBSKS reimburses several procedures differently depending upon the location where they were rendered. When a procedure is performed in a physician’s office, urgent care center or independent clinic, the allowable charge accounts for the overhead expenses incurred in these locations. When the service is performed in a “facility”, such as a hospital outpatient department, the allowable is reduced to reflect the absence of overhead expenses to the physician or professional provider. The facility bills BCBSKS for the technical charges associated with the overhead component. BCBSKS does not require that a physician own the space they call an office; however, there should be financial liability (i.e., reasonable rent, staffing, mortgage, etc.). The physician typically employs the staff used in that space as opposed to the staff being employees of a facility. In most cases, when these provisions are not being met, the facility is charging BCBSKS a “room fee”, and therefore, the place of service would be considered out-patient hospital (22).

For diagnostic services, such as lab and x-ray, the POS code should be the setting in which the patient received the technical component. For example, a patient undergoes an MRI in an outpatient facility owned by the hospital, and the technical component is billed by the hospital. The correct place of service for the professional component billed by the radiologist would be 22 (outpatient hospital). If you have any questions based on your specific situation, please contact your Professional Relations Representative.

Too Many E-mails from Availity? Not a problem. All emails, including advertisements, have an option at the bottom of the email to unsubscribe. Just click on Update Your Preferences and select the options that best suit your needs. Don't worry about messing it up, you can always go back and update your preferences again later, if needed.

December 17, 2012 Blue Shield Report S-11-12 Page 7

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

Not on Availity Yet? Hundreds of Blue Cross and Blue Shield of Kansas contracting providers have been using the Availity® Health Information Network multi-payer portal for certain transactions with BCBSKS since early 2012. In early 2013, a new feature will be added, allowing providers to get additional claim detail when making a claims status request. Providers also access Availity for eligibility and benefits verification. For other online services, such as pre-certification and referrals, providers are re-directed to the secure section of the BCBSKS Web site without having to sign-on again. Increasing the online, self-service adoption rate among BCBSKS contracting providers is expected. However, these efficiencies and cost-savings can not be realized until all contracting providers begin using Availity. Therefore, beginning in the first quarter of 2013, BCBSKS will begin redirecting providers registered with Availity to the Availity Web site for all secure BCBSKS transactions. During the third quarter of 2013, BCBSKS will require all contracting providers to begin accessing secure information on their BCBSKS patients through Availity. Getting started with Availity is easy. Go to www.availity.com, click on the registration link and follow the instructions. Web Changes – Medical Policy Since the publication of Blue Shield Report S-8-12, the following new or revised medical policies have been posted to our Web site at: http://www.bcbsks.com/CustomerService/Providers/MedicalPolicies/policies.htm

• Ambulatory Blood Pressure Monitoring • Androgens and Anabolic Steroids Prior Authorization and Quantity Limit Criteria • Balloon Sinuplasty for Treatment of Chronic Sinusitis • Biologic Immunomodulators Step Therapy Criteria (through preferred agent Humira ®) • BRCA 1 and BRCA 2 Testing • Breast Reconstructive Surgery after Mastectomy • Bronchial Thermoplasty • Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting • Cardiac Rehabilitation Programs • Chelation Therapy • Computed Tomography (CT) to Detect Coronary Artery Calcification • Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation

(Nucleoplasty) • Diagnosis and Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple Sclerosis • Equipment for Cold Therapy • Extracorporeal Shock Wave Therapy (ESWT) for Plantar Fasciitis and Other Musculoskeletal Conditions • Genetic Testing for Congenital Long QT Syndrome • Genetic Testing for Helicobacter pylori Treatment • Glucose Test Strips/Disks and Meters (Pharmacy Benefit Only) • Hepatitis B / Hepatitis C Agents Prior Authorization Criteria (Pegasys®/Pegasys Proclick®/peginterferon alfa-2a,

PegIntron®/peginterferon alfa-2b, Incivek™/telaprevir, and Victrelis™/boceprevir) • Home Uterine Activity Monitoring • Identification of Microorganisms Using Nucleic Acid Probes • Insulin Pump

December 17, 2012 Blue Shield Report S-11-12 Page 8

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

Web Changes – Medical Policy, continued

• Intensity Modulated Radiation Therapy (IMRT) • Intra-articular Hyaluronan Injections for Osteoarthritis • Intravenous Antibiotic Therapy and Associated Diagnostic Testing for Lyme Disease • Keratoprosthesis • Magnetic Resonance Imaging (MRI) Breast • Multiple Sclerosis Agents Prior Authorization (Through Preferred) Program Summary • Novel Lipid Risk Factors in Risk Assessment and Management of Cardiovascular Disease • Percutaneous Intradiscal Electrothermal (IDET) Annuloplasty and Percutaneous Intradiscal Radiofrequency

Annuloplasty • Positiron Emission Tomography (PET) • Small Bowel / Liver and Multivisceral Transplant • Statin Prior Authorization • Surgical Treatment of Gynecomastia • Synagis (Respiratory Syncytial Virus) [RSV] Prior Authorization Criteria

• Total Ankle Replacement • Transcranial Magnetic Stimulation (TMS) as a Treatment of Depression and Other Psychiatric Disorders • Ultrasonographic Measurement of Carotid Intimal-Medial Thickness as an Assessment of Subclinical Atherosclerosis

A complete listing of all medical policies can be found on our Web site at: http://www.bcbsks.com/CustomerService/Providers/MedicalPolicies/policies.htm

Pharmaceuticals

Formulary Update Prime Therapeutics updates the BCBSKS formulary (preferred medication list) on a quarterly basis. Please refer to the link below when prescribing or dispensing medications for your Blue Cross and Blue Shield of Kansas patients. Coverage is subject to the limitations of the member's individual plan.

• https://www.myprime.com/MyRx/MyRxHealth/forms/KS_Alpha_Drug_List.pdf

A searchable version of the formulary is available at:

• https://www.myprime.com/MyRx/MyPrime/Commercial/findDrugs/KSBCBS/SAMST#ViewFindDrugsEvent Prescription Drug Changes for 2013 This newsletter again identifies the prescription drug benefit changes for 2013. (A separate newsletter, Blue Shield Report S-10-12, published Oct. 26, 2012, also noted this information.) These changes include diabetic test strip coverage and prior authorization requirements for testosterone therapy, as well as quantity limits. The changes will take effect January 1, 2013.

Please see information on the following pages.

December 17, 2012 Blue Shield Report S-11-12 Page 9

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

Prescription Drug Changes for 2013, continued

Diabetic Test Strip Coverage Changes Effective January 1, 2013

Effective January 1, 2013, Roche and Bayer diabetic testing products will be preferred by Blue Cross and Blue Shield of Kansas (BCBSKS). Other products will be allowed on a limited basis, upon prior approval. What are the new preferred brands of diabetic test strips? ACCU-CHEK® Nano SmartView (Roche) ACCU-CHEK® Aviva Plus (Roche) CONTOUR® (Bayer) CONTOUR® NEXT EZ (Bayer) BREEZE®2 (Bayer) Why is Blue Cross and Blue Shield of Kansas requiring my patients to switch to the preferred products? These products provide quality glucose measurement and were determined to be the lowest cost products by competitive bid. What will I have to do to transition my patients to the preferred products? Write a new prescription for one of the preferred products. Will my patients be required to change if they are on insulin pumps that require the use of non-preferred test strips? No. Members with pump supply claims have been identified and will be exempt from this change.

Will I be able to prescribe a non-preferred diabetic test strip other than the Roche and Bayer products? Other brands may be approved through physician-initiated prior authorization with documentation of ONE of the following:

• Patient has visual impairment, OR

• The patient’s medication history includes use of any preferred glucose test strip/disc or meter product in the past ninety days, OR

• Patient uses an insulin pump that is not accommodated with a preferred glucose test strip/disc or meter, OR

• Patient has a physical or mental disability. How do I obtain a prior authorization form? Forms are available at www.bcbsks.com under Prescription Drugs. What support will my patients receive from Roche and Bayer, the makers of the preferred products? Each member will be able to receive a new meter and starter supply of one of the preferred products at no charge. Members currently using a non-preferred product have been notified of this change and given the information below to obtain a preferred meter.

Blood Glucose Monitoring Systems Roche Bayer

ACCU-CHEK® Nano SmartView CONTOUR® ACCU-CHEK® Aviva Plus CONTOUR® NEXT EZ

BREEZE®2

To select a Roche product: 1-800-873-1554

or www.meters.accu-chek.com To select a Bayer product:

1-877-229-3777

Please use offer code: BCBSKS212 Please use offer code: BDC-KS

December 17, 2012 Blue Shield Report S-11-12 Page 10

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

Prescription Drug Changes for 2013, continued

Testosterone Therapy Effective Jan. 1, 2013, BCBSKS’ prescription drug benefits will include a prior authorization program for topical, oral and injectable androgens and anabolic steroids. To support the most cost-effective care, use of a preferred topical androgen, Androderm® or AndroGel® , will be required before a non-preferred product is approved. Quantity limits for topical and injectable products will apply. The prior approval program will apply to the following medications:

Anadrol-50® *Axiron® *First®-Testosterone *Striant® *Androderm® *Bio-T-GelTM *First®-Testosterone MC *Testim® *AndroGel® Danazol *FortestaTM *Testopel® Android® *Delatestryl® Methitest® Testred® Androxy® *Depo-Testosterone® Oxandrin®

Bolded drugs are the preferred topical products. *Quantity limits apply

Medical policy for approval, the prior authorization form, and a table of quantity limits are located at www.bcbsks.com. Drugs will be approved that are determined to meet the BCBSKS approved medical policy. For males to meet the criteria for testosterone replacement, the patient must have a measured pretreatment total serum testosterone level that is less than 300 ng/dL or a free serum testosterone level that is below the testing laboratory’s lower limit of the normal range. Workshop Opportunities 2013 Provider Workshop Offerings Once again, the professional relations department of BCBSKS will offer educational workshops to review BCBSKS programs, general benefits, current guidelines, proper billing and coding requirements as they apply to BCBSKS, and contact information to address future questions. In addition, BCBSKS will be offering some specialty workshops for 2013. The workshops, with the exclusion of the specialty provider workshops for Chiropractic, PT, OT, SP, AUD, DME, and Sleep Labs, will provide 3.5 hours of continuing education units (CEUs) pending approval from the American Academy of Professional Coders (AAPC). Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. You must attend the full session in order to receive your CEUs and your certificate of accreditation. All insurance billing workshops are offered free of charge. Please check the following pages for topics, dates, locations, and times. Please note a new enhancement to the workshop page. You may now filter the workshops to display by city, by title, or by date. Online registration is available on our Web site,

December 17, 2012 Blue Shield Report S-11-12 Page 11

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

2013 Provider Workshop Offerings, continued www.bcbsks.com/CustomerService/Providers/Training/index.htm; or you may register by phone at the number listed with the workshop you wish to attend. Casual dress is acceptable, but be sure to bring a jacket or sweater since it's often difficult to control the temperature in meeting rooms. Please watch our Web site, www.bcbsks.com, for additional workshops that may be added throughout the year.

2013 PROVIDER WORKSHOPS 9:00 A.M. – 12:30 P.M.

(Specialty Workshop times, if different, are listed with each workshop.)

NOTE: Workshops may be canceled if fewer than five people have registered. In the event of cancellation for any reason, registrants will be notified ahead of time.

January 10 Topeka What’s New in 2013? Polk School 1234 SW Polk St., Room 101

785-291-4135, option 5 or 800-432-3587, option 5

January 10 Wichita What’s New in 2013? BCBSKS 220 W Douglas Ave., Suite 220 (Conference Room, 2nd Floor)

316-269-1674 or 800-432-0216, ext. 1674

January 24 Hutchinson What’s New in 2013? BCBSKS First National Bank One North Main St., Suite 301

620-663-1313

January 30 Hays What’s New in 2013? Hays Medical Center for Health

Improvement 2500 Canterbury Drive (Park in east parking lot)

785-291-4135, option 5 or 800-432-3587, option 5

January 31 Garden City What’s New in 2013? St. Catherine Hospital 401 E Spruce St. Lower Level, Classroom B (Park west of surgery center, enter west door, Outpatient Services)

785-291-4135, option 5 or 800-432-3587, option 5

February 7 Topeka ICD-10 Workshop Polk School 1234 SW Polk St., Room 101

785-291-4135, option 5 or 800-432-3587, option 5

February 14 Wichita What’s New in 2013? BCBSKS 220 W Douglas Ave., Suite 220 (Conference Room, 2nd Floor)

316-269-1674 or 800-432-0216, ext. 1674

December 17, 2012 Blue Shield Report S-11-12 Page 12

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

February 27 Topeka Specialty Provider Workshop for PT, OT, SP, AUD, DME, and Sleep Labs ONLY Polk School 1234 SW Polk St., Room 103 9:00 – 12:00

785-291-4135, option 5 or 800-432-3587, option 5

March 7 Hutchinson New Insurance Billers Workshop BCBSKS First National Bank One North Main St., Suite 301

620-663-1313

March 7 Topeka What’s New in 2013? Polk School 1234 SW Polk St., Room 101

785-291-4135, option 5 or 800-432-3587, option 5

March 14 Wichita New Insurance Billers Workshop BCBSKS 220 W Douglas Ave., Suite 220 (Conference Room, 2nd Floor)

316-269-1674 or 800-432-0216, ext. 1674

March 27 Parsons ICD-10 Workshop Labette County Med Center 2902 Hwy 59, Conference Room 2

785-291-4135, option 5 or 800-432-3587, option 5

April 4 Topeka New Insurance Billers Workshop Polk School 1234 SW Polk St., Room 101

785-291-4135, option 5 or 800-432-3587, option 5

April 11 Hutchinson New Insurance Billers Workshop BCBSKS First National Bank One North Main St., Suite 301

620-663-1313

April 11 Wichita New Insurance Billers Workshop BCBSKS 220 W Douglas Ave., Suite 220 (Conference Room, 2nd Floor)

316-269-1674 or 800-432-0216, ext. 1674

April 23 Burlington New Insurance Billers Workshop Coffey County Hospital 309 Sanders, Allen Woods 2 Room

785-291-4135, option 5 or 800-432-3587, option 5

April 30 Garden City New Insurance Billers Workshop St. Catherine Hospital 401 E Spruce St. Lower Level, Classroom B (Park west of surgery center, enter west door, Outpatient Services)

785-291-4135, option 5 or 800-432-3587, option 5

December 17, 2012 Blue Shield Report S-11-12 Page 13

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

May 1 Hays New Insurance Billers Workshop Hays Medical Center for Health

Improvement 2500 Canterbury Drive (Park in east parking lot)

785-291-4135, option 5 or 800-432-3587, option 5

May 1 Norton Specialty Provider Workshop for PT, OT, SP, AUD, DME, and Sleep Labs ONLY Norton Public Library 1 Washington Square 10:00 – 12:30

785-291-4135, option 5 or 800-432-3587, option 5

May 9 Wichita New Insurance Billers Workshop BCBSKS 220 W Douglas Ave., Suite 220 (Conference Room, 2nd Floor)

316-269-1674 or 800-432-0216, ext. 1674

June 6 Topeka New Insurance Billers Workshop Polk School 1234 SW Polk St., Room 101

785-291-4135, option 5 or 800-432-3587, option 5

June 13 Hutchinson Chiropractic Specialty Workshop BCBSKS First National Bank One North Main St., Suite 301

620-663-1313

June 13 Wichita Chiropractic Specialty Workshop BCBSKS 220 W Douglas Ave., Suite 220 (Conference Room, 2nd Floor)

316-269-1674 or 800-432-0216, ext. 1674

June 25 Garden City Chiropractic Specialty Workshop St. Catherine Hospital 401 E Spruce St. Lower Level, Classroom B (Park west of surgery center, enter west door, Outpatient Services)

785-291-4135, option 5 or 800-432-3587, option 5

June 26 Hays Chiropractic Specialty Workshop Hays Medical Center for Health

Improvement 2500 Canterbury Drive (Park in east parking lot)

785-291-4135, option 5 or 800-432-3587, option 5

June 26 McPherson Specialty Provider Workshop for PT, OT, SP, AUD, DME, and Sleep Labs ONLY McPherson Public Library 214 W Marlin 9:00 – 12:00

785-291-4135, option 5 or 800-432-3587, option 5

December 17, 2012 Blue Shield Report S-11-12 Page 14

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

June 27 Independence New Insurance Billers Workshop Mercy Hospital 800 W Myrtle, McCauley Hall

785-291-4135, option 5 or 800-432-3587, option 5

July 11 Ft. Scott New Insurance Billers Workshop Mercy Hospital 401 Wood Hills Blvd., McCauley Center

785-291-4135, option 5 or 800-432-3587, option 5

July 17 Chanute Specialty Provider Workshop for PT, OT, SP, AUD, DME, and Sleep Labs ONLY Neosho Memorial Hospital 629 S Plummer, The Classroom 9:00 – 12:00

785-291-4135, option 5 or 800-432-3587, option 5

August 8 Topeka New Insurance Billers Workshop Polk School 1234 SW Polk St., Room 101

785-291-4135, option 5 or 800-432-3587, option 5

September 4 Hays Specialty Provider Workshop for PT, OT, SP, AUD, DME, and Sleep Labs ONLY Hays Medical Center for Health

Improvement 2500 Canterbury Dr. (Park in east parking lot.) 9:00 – 12:00

785-291-4135, option 5 or 800-432-3587, option 5

September 12 Wichita What’s New in 2014? BCBSKS 220 W Douglas Ave., Suite 220 (Conference Room, 2nd Floor)

316-269-1674 or 800-432-0216, ext. 1674

September 26 Hutchinson Chiropractic Specialty Workshop BCBSKS First National Bank One North Main St., Suite 301

620-663-1313

September 26 Ottawa What’s New in 2014? Ottawa Family Physicians 1418 S Main, Suite 5 Franklin County Conference Room

785-291-4135, option 5 or 800-432-3587, option 5

September 26 Topeka What’s New in 2014? Polk School 1234 SW Polk St., Room 101

785-291-4135, option 5 or 800-432-3587, option 5

December 17, 2012 Blue Shield Report S-11-12 Page 15

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

October 2 Garden City Specialty Provider Workshop for PT, OT, SP, AUD, DME, and Sleep Labs ONLY St. Catherine Hospital 401 E Spruce Lower Level, Classroom B (Park west of surgery center, enter west door, Outpatient Services) 9:30 – 12:30

785-291-4135, option 5 or 800-432-3587, option 5

October 3 Pittsburg What’s New in 2014? Via Christi 1 Mt. Carmel Way, Sheridan Room

785-291-4135, option 5 or 800-432-3587, option 5

October 3 Topeka New Insurance Billers Workshop Polk School 1234 SW Polk St., Room 101

785-291-4135, option 5 or 800-432-3587, option 5

October 10 Wichita What’s New in 2014? BCBSKS 220 W Douglas Ave., Suite 220 (Conference Room, 2nd Floor)

316-269-1674 or 800-432-0216, ext. 1674

October 17 Hutchinson What’s New in 2014? BCBSKS First National Bank One North Main St., Suite 301

620-663-1313

October 24 Topeka What’s New in 2014? Polk School 1234 SW Polk St., Room 101

785-291-4135, option 5 or 800-432-3587, option 5

November 5 Garden City What’s New in 2014? St. Catherine Hospital 401 E Spruce St. Lower Level, Classroom B (Park west of surgery center, enter west door, Outpatient Services)

785-291-4135, option 5 or 800-432-3587, option 5

November 6 Hays What’s New in 2014? Hays Medical Center for Health

Improvement 2500 Canterbury Drive (Park in east parking lot)

785-291-4135, option 5 or 800-432-3587, option 5

November 14 Hutchinson What’s New in 2014? BCBSKS First National Bank One North Main St., Suite 301

620-663-1313

December 17, 2012 Blue Shield Report S-11-12 Page 16

Current Procedural Terminology 2011 American Medical Association. All Rights Reserved. Note: Codes published herein are current on the publication/effective date and are subject to change.

Sent To: CAP except Dentists and Pharmacies Contains Public Information

November 14 Wichita What’s New in 2014? BCBSKS 220 W Douglas Ave., Suite 220 (Conference Room, 2nd Floor)

316-269-1674 or 800-432-0216, ext. 1674

December 5 Topeka What’s New in 2014? Polk School 1234 SW Polk St., Room 101

785-291-4135, option 5 or 800-432-3587, option 5

December 12 Wichita What’s New in 2014? BCBSKS 220 W Douglas Ave., Suite 220 (Conference Room, 2nd Floor)

316-269-1674 or 800-432-0216, ext. 1674

Peace on earth . . .

Goodwill toward men!