Tag: Anthem Blue Cross Blue Shield

BOSTON – Blue Cross Blue Shield of Massachusetts is warning members to be vigilant, as scams offering free DME and pharmacy products are on the rise. Medicare beneficiaries and patients who've had a recent injury or surgery are often targeted by scammers, it says. In many cases, the perpetrators solicit physicians to sign off on unnecessary orders or prescriptions, such as back braces or pain cream, which are then improperly billed to a patient's health insurer. "While these types of...

YARMOUTH, Maine - A new sleep management program aimed at improving patient compliance for Anthem Blue Cross Blue Shield members could mean more paperwork for providers.Two key facets to the program: Providers must submit prior authorizations for all sleep therapy-related equipment and supplies and renew them annually; and providers must document patient compliance quarterly for the first year, and then annually thereafter."We are trying to make sure that patients stay engaged over the long term...