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ProviderCast Podcasts

PodcastDirectory / Health / Unknown
PodcastDirectory / Regions / NA / USA

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ND
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MediQHome Quality Program

October 1, 2008. Runs 5:33; 3.81 MbProviders can now enroll in Blue Cross Blue Shield of North Dakota's new quality improvement initiative, MediQHome. This program is designed to promote and sustain a patient centered medical home approach to the delivery of primary care to citizens in the state and surrounding counties.

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Online Reporting

September 10, 2008. Runs 3:54; 2.68 MbBlue Cross Blue Shield of North Dakota has received feedback from physicians regarding online reporting and is making changes to fit their needs. Jodi Carlisle of the Health Informatics area details the differences.

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Immunization Guidelines

August 27, 2008. Runs 5:03; 3.49 MbThe Advisory Committee on Immunization Practices (ACIP) has released the 2008/2009 immunization guidelines. Brent Solseng of the Medical Management area explains the significant changes in this year's recommendations.

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Pharmacy Programs

August 13, 2008. Runs 4:08; 2.84 MbBCBSND provides several pharmacy programs to educate providers about the cost-effectiveness of generic drugs for patients. Brent Solseng of the Medical Management area explains the generic and medication adherence programs, the drug formulary and specialty pharmacy.

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Immunization Billing Changes

July 30, 2008. Runs 4:51; 3.33 MbBlue Cross Blue Shield of North Dakota providers are now required to purchase vaccines and handle billing for immunizations given to children in the state. Since January 1, the North Dakota Department of Health discontinued supplying childhood vaccines free of charge to providers.

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Advanced Medical Home Project Update

July 16, 2008. Runs 7:10; 5.93 MbAdvanced medical home is a statewide project using a patient-centered "medical home" care approach to ensure that members receive the primary health care they need to improve the quality of their lives. Dr. Jon Rice of BCBSND's Medical Management area tells us about the project, its aims, start date and how it may affect members.

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Pharmacy Reports Update

July 2, 2008. Runs 5:41; 5.41 MbBlue Cross Blue Shield of North Dakota works to improve communication with providers. Now, pharmacy reports will be distributed on a quarterly basis to give providers a more timely assessment of their prescribing profile.

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2008 Diabetes Care Provider Achievement Awards

June 18, 2008. Runs 7:41; 5.28 MbBlue Cross Blue Shield of North Dakota and the North Dakota Department of Health's Diabetes Prevention and Control Program have awarded 2008 North Dakota Diabetes Care Provider Achievement plaques to 207 providers and 7 clinics.

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HealthCare Forums Recap

June 4, 2008. Runs 4:31; 3.11 Mb The 2008 Blue Cross Blue Shield of North Dakota HealthCare Forums were held in Bismarck and Fargo in May. Kim Grimley of Provider Services tells us more about the event.

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Advanced Medical Home Project

May 7, 2008. Runs 6:52; 4.73 Mb - Advanced medical home, is a patient-centered, physician guided model of health care. Dr. Jon Rice of Blue Cross Blue Shield of North Dakota's Medical Management area tells us why BCBSND is looking at the option of promoting this project.

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Medication Compliance Campaign

April 23, 2008. Runs 7:03; 4.85 Mb - Medical literature calls medication compliance the missing vital sign. Brent Solseng of BCBSND's Medical Management area tells us what BCBSND is doing to help prescribers and pharmacists deliver medication compliance education to patients.

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The Importance of Provider Pharmacy Reports

April 9, 2008. Runs 6:34; 4.52 Mb - Pharmacy reports give participating providers a detailed description of their prescription trends, allowing for more complete information when providing services. Brent Solseng and Jodi Carlisle of BCBSND's Medical Management area tell us why pharmacy reports are such an important tool for providers.

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Reference Lab Billing

March 26, 2008. Runs 5:29; 5.29 Mb - A large number of providers may not be getting appropriate reimbursement for reference lab billing. Holly Prodoehl of BCBSND Provider Education tells us what providers need to do to ensure their reference lab costs are covered.

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May 23 is the NPI Compliance Deadline

Posted March 12, 2008. Runs 6:10; 4.24 Mb - Are you ready for the National Provider Identifier (NPI) implementation? Cindy Fischer of BCBSND Provider Networks tells you what you need to know about deadlines and usage. We'll also tell you why an NPI is needed.

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BCBSND partners with UND for lung cancer study

Posted February 27, 2008. Runs 8:18; 5.70 Mb - The effect of statin use on brain metastasis in lung cancer patients could change the future of health care. Members of Blue Cross Blue Shield of North Dakota’s Medical Management department have partnered with UND to conduct a study to see if it is beneficial for lung cancer patients to take statins.

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Migraine Treatment: Under diagnosed and under treated

Posted February 13, 2008. Runs 6:13; 4.27 Mb - More and more people are suffering migraines, yet the condition is under diagnosed and under treated. Brent Solseng of the Blue Cross Blue Shield Medical Management area tells us the key points for providers regarding migraine treatment.

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Medical Policy Development

Posted January 30, 2008. Runs 7:53; 5.43 Mb - The medical field is constantly changing and medical policies need to keep up with those changes. Kathy Kath of the Medical Management area talks about how medical policies are developed and how you can be involved in the process.

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2007 Year End Summary

Posted January 16, 2008. Runs 7:24; 5.09 Mb - 2007 was a busy year for providers in North Dakota. The health care industry is transforming in ways that effect providers in how they obtain information from Blue Cross Blue Shield, as well as perform their administrative work.

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Cancer/Transplant Blue Distinction Centers

Posted January 02, 2008. Runs 5:29; 3.78 Mb - The demand for transplants continues to grow nationwide, as does the need for doctors who are skilled at treating complex and rare cancers. Blue Distinction Centers have been developed to improve the overall quality of specialty care for Blue members, and to help enable consumers to make a better informed decision in selecting providers.

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Cardiac Blue Distinction Centers

Posted December 19, 2007. Runs 4:28. 3.07 Mb - While the need for quality cardiac are has never been greater, providers may vary in terms of their years of experience, the number and type of cardiac procedures they have performed, as well as how they evaluate and treat cardiac patients. Blue Distinction Centers for cardiac care have been developed to improve the overall quality of specialty care for Blue members, and to help enable consumers to make a better informed decision in selecting p ...

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Bariatric Blue Distinction Centers

Posted December 5, 2007. Runs 5:11. 3.6 Mb - Blue Distinction Centers are centers of excellence for specialty care services, including bariatric surgery, rare and complex cancers, cardiac care and Transplants. The number of bariatric surgeries performed in recent years has increased rapidly. BDC for bariatric surgery are a key part of Blue Cross Blue Shield's effort to join forces with hospitals to ensure the greatest care for members.

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Blue Distinction Centers are "centers of excellence"

Posted November 21, 2007. Runs 4:47, 3.3 Mb - The Blue Cross Blue Shield Association is honoring the best hospitals in its network with a Blue Distinction Center title. Each center is selected through a rigorous evaluation of clinical data that provides insight into the facility's structures, processes, and outcomes of care. Currently the association has designated centers for bariatric surgery, cardiac care, and transplant surgery.

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Staying healthy during cold and flu season

Posted November 8, 2007. Runs 6:25, 4.4 Mb - With the flu season upon us, it’s important to protect ourselves and others. Brent Solseng of Blue Cross Blue Shield of North Dakota Medical Management area tells us what we can do to avoid getting the flu, and what other fall and winter-time illnesses we need to be on the look out for. Also find out what programs Blue Cross Blue Shield of North Dakota is behind to ensure patients are protected.

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Real time claims make doctor visits real easy for providers and patients

Posted October 24, 2007. Runs 4:53, 3.4 Mb - What is a real time claim and why is it good for providers and patients? We hear from Steve Lindemann of the Provider Networks area. He explains how providers can submit a real time claim to BCBSND and affiliates while a patient is in the office. Providers then receive a response to that claim before leaving the clinic or provider’s office. This allows our members to know what their bill is going to be before they walk out the door.

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Formulary lists, and making good health care even better

Posted October 10, 2007. Runs 4:59, 3.4 Mb. - How is a formulary drug list determined and what difference does it make to health care consumers? Brent Solseng of the Medical Management area explains the process and how the list is developed. We also hear from Jami Petry, BCBSND’s quality management director, about her background and some thoughts on how she hopes to work with providers to help ensure quality health care in North Dakota.

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Generic statins and their usage

Posted September 26, 2007. Runs 4:18; 3.0 Mb. - Generic statins such as simvastatin are changing the marketplace in cholesterol prescriptions. Brent Solseng of BCBSND Medical Management talks about these changes and their impact on costs.

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The future of online reporting

Posted September 12, 2007. Runs 7:20; 5.0 Mb - Current online reports allow BCBSND providers to see how they compare with their peers. Plans are now being put together to add more functionality to those reports. Jodi Carlisle of BCBSND Medical Management gives an update on provider reports and their utilization.

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Oxycontin patent decision impacts pain sufferers

Posted August 29, 2007. Runs 5:33; 3.8 Mb. - A court decision may change prescription regimens for chronic pain sufferers. Brent Solseng of BCBSND Medical Management talks about extended release opioids and why one generic version will no longer be easily available for prescription.

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Diabetics and Cardiovascular Medication

Posted August 15, 2007. Runs 8:03; 3.7 Mb. - In a continuation of the medication compliance discussion from the July 18 ProviderCast, Brent Solseng of BCBSND Medical Management provides more in-depth information on cardiovascular medications in diabetics. BCBSND is developing a project to investigate non-compliance by diabetics with medication regimens.

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NPI and the CMS-1500 Form

Posted: August 1, 2007. Runs 4:21; 3.0 Mb - With the advent of the National Provider Identifier (NPI), there are some changes for providers to remember when using the CMS-1500 form. Kim Grimley of BCBSND's Provider Relations area has more on what providers should be looking for on the form. To follow along, an example of the CMS-1500 is available here.

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Medication Compliance Makes for Better Outcomes

Posted: July 18, 2007. Runs 5:50; 4.0 Mb - Medication compliance has been referred to as "the missing vital sign". Brent Solseng of BCBSND Medical Management talks about the capabilities and possibilities BCBSND has for providing measures of medication compliance in chronically ill patients taking preventive medications.

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Wrapping up the HealthCare Forums

Posted: July 3, 2007. Runs 4:59; 3.4 Mb - BCBSND’s annual HealthCare Forums were held in Bismarck and Fargo in May. Kim Grimley of Provider Services has reaction and comments from health care providers.

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Peer Comparisons: Understanding Specialty Reports

Posted: June 21, 2007. Runs 7:00; 4.8 Mb - Specialty Utilization Reports are designed to help providers see how the cost of services they offer compare to other providers in a specialty area. Jodi Carlisle of BCBSND Medical Management explains the report and its history. To help follow the discussion, view a sample specialty report.

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2007 Diabetes Care Achievement Awards

Posted: June 7, 2007. Runs 9:38 6.6Mb - Diabetes care is a high priority for Blue Cross Blue Shield of North Dakota, and the Diabetes Care Achievement Awards reflect that priority. Dr. Jon Rice, BCBSND’s Chief Medical Officer, discusses the program and its impact on diabetes care in the state.

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What You Need to Know About Quality Reports

Posted: May 24, 2007. Runs 6:17; 4.3 Mb - Using specific criteria, quality reports help measure the quality of care given to patients, as well as how cost-effective that care is. These reports also provide comparisons to other providers offering the same types of services. Jodi Carlisle of BCBSND Medical Management explains the report, how it’s compiled and provides insight into how providers can use it.

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Provider Pharmacy Reports and What They Mean to You

Posted: April 26, 2007. Runs 10:38; 7.3 Mb - Pharmacy reports give participating providers an analysis of their prescription trends, allowing for more complete information when providing services. Brent Solseng and Jodi Carlisle of BCBSND's Medical Management department walk us through the pharmacy report and talk about its purpose.

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May 23 is the NPI Deadline

Posted: May 10, 2007. Runs 4:20; 3.97 Mb - Do you have your National Provider Identifier yet? Kim Grimley of Provider Services has details you need to know about deadlines and usage.

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Healthcare Forums Coming to Bismarck and Fargo

Posted: April 12, 2007. Runs 3:38; 2.5 Mb - BCBSND's annual HealthCare Forums are coming up May 8 in Bismarck and May 9 in Fargo. Kim Grimley of Provider Services has a preview of what providers can expect.

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National Provider Identifier

Posted: March 29, 2007. Runs 4:35; 3.1 Mb - What is the National Provider Identifier and why is it so important? Kim Grimley of BCBSND Provider Services tells you what you need to know about NPI and its effects on providers.

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Real Time Vision Claims Help Providers

May 21, 2008. Runs 5:12; 3.57 Mb- What is a real time vision claim and why is it beneficial to providers and patients? Steve Lindemann of the Provider Networks area explains how providers can submit a vision claim while a patient is in the office and receive a response before the patient leaves. This allows members to know what their bill is going to be before they walk out the door.

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