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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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Online ReportingSeptember 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Immunization GuidelinesAugust 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Pharmacy ProgramsAugust 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Immunization Billing ChangesJuly 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. Listen | Listen in your iPhone | Download | View full cache | Visit Website Advanced Medical Home Project UpdateJuly 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Pharmacy Reports UpdateJuly 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website 2008 Diabetes Care Provider Achievement AwardsJune 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website HealthCare Forums RecapJune 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Advanced Medical Home ProjectMay 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Medication Compliance CampaignApril 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website The Importance of Provider Pharmacy ReportsApril 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Reference Lab BillingMarch 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website May 23 is the NPI Compliance DeadlinePosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website BCBSND partners with UND for lung cancer studyPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Migraine Treatment: Under diagnosed and under treatedPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Medical Policy DevelopmentPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website 2007 Year End SummaryPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Cancer/Transplant Blue Distinction CentersPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Cardiac Blue Distinction CentersPosted 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 ... Listen | Listen in your iPhone | Download | View full cache | Visit Website Bariatric Blue Distinction CentersPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Staying healthy during cold and flu seasonPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Real time claims make doctor visits real easy for providers and patientsPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Formulary lists, and making good health care even betterPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Generic statins and their usagePosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website The future of online reportingPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Oxycontin patent decision impacts pain sufferersPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Diabetics and Cardiovascular MedicationPosted 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website NPI and the CMS-1500 FormPosted: 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Medication Compliance Makes for Better OutcomesPosted: 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Wrapping up the HealthCare ForumsPosted: 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Peer Comparisons: Understanding Specialty ReportsPosted: 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website 2007 Diabetes Care Achievement AwardsPosted: 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website What You Need to Know About Quality ReportsPosted: 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Provider Pharmacy Reports and What They Mean to YouPosted: 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website May 23 is the NPI DeadlinePosted: 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Healthcare Forums Coming to Bismarck and FargoPosted: 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website National Provider IdentifierPosted: 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website Real Time Vision Claims Help ProvidersMay 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.Listen | Listen in your iPhone | Download | View full cache | Visit Website
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