BCBSNE Webinars

Upcoming Webinars

August through December 2016

 

Day One Precertification Review

Effective Jan. 1, 2017, BCBSNE will require facilities to precertify all acute inpatient and observation admissions for BCBSNE members and their dependents on day one. Join us for a webinar to learn about the requirements and guidelines for precertification and a demo of McKesson’s Clear Coverage™ tool, a web-based precertification system which can provide an automatic approval if criteria are met. 

  • Thursday, November 10, 12 to 1 p.m. (CST)
  • Thursday, November 17, 12 to 1 p.m. (CST)
  • Tuesday, December 6, 12 to 1 p.m. (CST)
  • Wednesday, December 14, 12 to 1 p.m. (CST)

Register today!

2016 Risk Adjustment Series

Radiology Management Troubleshooting

Thursday, December 8, 2016
12 to 1 p.m. (CST)

Register today!

Introduction to Risk Adjustment

Wednesday, September 14, 2016
12 to 1 p.m. (CDT)

Risk Adjustment methodology plays an essential role in your daily office activities.

Join us for the first webinar in this series: a brief history of Risk Adjustment methodology. Learn about the importance of accurate medical record documentation, understand the purpose of the Risk Adjustment Data Validation Audit and gain insight into the impact Population Health tools have on improving patient outcomes.

Register today for the Introduction to Risk Adjustment webinar at nebraskablue.com/WebinarRiskAdjustment

Mental Health Documentation

Wednesday, October 5, 2016
12 to 1 p.m. (CDT)

Register today for the Mental Health Documentation webinar at nebraskablue.com/WebinarRiskAdjustment2

Oncology Coding

Wednesday, October 26, 2016
12 to 1 p.m. (CDT)

Register today for the Oncology Coding webinar at nebraskablue.com/WebinarRiskAdjustment3

Diabetes Coding

Wednesday, November 16, 2016
12 to 1 p.m. (CST)

Register today for the Diabetes Coding webinar at nebraskablue.com/WebinarRiskAdjustment4

HIV, Sepsis & Opportunistic Infections Coding

Tuesday, December 20, 2016
12 to 1 p.m. (CST)

Register today for the HIV, Sepsis & Opportunistic Infections Coding webinar at nebraskablue.com/WebinarRiskAdjustment5

Please contact Angeline Ford at Angeline.Ford@nebraskablue.com with questions.

Previous Webinars

August and September 2016

Radiology Preauthorization Program

 

December 2015

 

Prior Authorization Programs

 

November 2015

 

A New Opportunity - Medicare Advantage

The Basics of Dental Claims 

 

October 2015

 

Timely Filing and Corrected Claims

 

September 2015

 

The ABCs of FEP

 

August 2015

 

Risk Adjustment

 

June 2015

 

ICD-10: The Final Stretch

 

May 2015

 

The Appeal and Reconsideration Process

 

July 2014

 

BlueCard® Basics

 

June 2014

 

NeHii: Offering Benefits to Providers

 

May 2014

 

Credentialing Basics

 

April 2014

 

Health Care Reform Update

 

March 2014

 

Going Green with Blue 

 

December 2013

 

Affordable Care Act

 

Pediatric Dental Services

 

September 2013

 

Provider Service Changes

 

APR-DRG Webinar

 

July 2013

 

Provider Resource Webinar

  • Webinar Recording
  • Webinar PDF
  • Please follow the instructions below to view a recorded webinar.
    • Please download the recorded webinar (zip) file below (by right clicking and saving) to your local computer. By saving the file to your local computer, it will allow you to start and stop the video at your convenience.
    • Once you have saved the zip file to your local computer, open the folder location and double-click the zip file. The file will run through an extraction process which may take several minutes.
    • After the extraction process, double-click on the video (.wmv) file and open.
    • Download Windows Media Player to view the video.

HEALTH INSURANCE TERMS


COINSURANCE

The percentage of the bill you pay after your deductible has been met.

COPAY

A fixed amount you pay when you get a covered health service.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider. 

DEDUCTIBLE

The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.

SUBSTANCE ABUSE DISORDER SERVICES

Includes behavioral health treatment, counseling, and psychotherapy


in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)

out-of-pocket

Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.

penalty

If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.

premium

The amount you pay to your health insurance company each month. 


Preventive services

Health care services that focus on the prevention of disease and health maintenance.

rehab SERVICES

Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).

specialist

A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.