Manuals and Guides

The following materials are specific to our Medicare Advantage line of business. In addition to provider manuals, we’ve included a reference on the CPT Category II coding incentive. 

  • BlueCross TotalSM PPO – These plans offer a network of preferred providers. Members save money when they use in-network providers. The can also seek care out of network.  
  • CPT Category II Coding Incentive for In-Network Providers – Network providers can earn incentives for billing certain CPT Category II codes as part of the Healthcare Effectiveness Data and Information Set (HEDIS) clinical measures.
  • Medicare Advantage Provider Quality Guide – To help sustain your quality efforts, use this booklet as a go-to reference for available BlueCross resources, information on commonly used codes and quality documentation tips.

 

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