BlueCross BlueShield of South Carolina
Welcome to the BlueCross BlueShield of South Carolina page. Here you can access useful materials about the program.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Tony Salvati.
Update on COVID-19
Documents
- BlueCross BlueShield of South Carolina CPT Code Matrix-2020
- BlueCross BlueShield of South Carolina Quick Reference Guide
- BlueCross BlueShield of South Carolina Frequently Asked Questions
- RadMD Flyer
- RadMD for Ordering and Imaging Providers
- RadMD Quick Start Guide
- RadMD Upload Feature
Spine Care Program
Effective May 1, 2016, BlueCross and BlueChoice will implement a musculoskeletal program. This program includes prior authorization for two components of non-emergent musculoskeletal care: outpatient, interventional spine pain management services; and inpatient and outpatient lumbar and cervical spine surgeries.
The Call Center will be available beginning Monday, April 25, 2016, for prior authorization for dates of service May 1, 2016, and beyond.
- Blue Cross Blue Shield South Carolina MSK Letter
- Frequently Asked Questions- Interventional Pain Management
- Frequently Asked Questions-Lumbar and Cervical Surgeries
- MSK- Provider Training
- MSK-Quick Reference Guide
- BCBSSC and BlueChoice IPM and Spine Surgery Utilization Matrix-2020
- Interventional Pain Management Checklist
- Spine Surgery Checklist
- Provider Webinar Education Invitation
- Surgery Quick Start Guide
- Pain Management - Injection Quick Start Guide
Recorded General Trainings
Recorded RadMD Demos
Radiation Oncology
Effective January 1, 2015, BlueCross BlueShield of South Carolina and BlueChoice HealthPlan/NIA Magellan will provide utilization management services for all outpatient radiation therapy for all cancer sites effective January 1, 2015.
Radiation Oncology Checklists
- Anal Cancer
- Bone Metastatic Cancer
- Bone Primary Cancer
- Breast Cancer
- Central Nervous System (CNS) Metastatic Cancer (Brain/Spine)
- Central Nervous System (CNS) Primary Cancer (Brain/Spine)
- Cervical Cancer
- Colon
- Endometrial Cancer
- Gastric Cancer
- Head and Neck Cancer
- Hodgkins Lymphoma
- Lung Cancer (Non-Small Cell)
- Lung Cancer (Small Cell)
- Non-Hodgkins Lymphoma
- Pancreas Cancer
- Prophylactic Cranial Irradiation
- Prostate Cancer
- Rectal
- Skin Cancer
- Other Cancer
- Other Metastatic Cancer
NIA Radiation Oncology Coding Standards
- Dosimetry Planning Coding Standard
- Image Guidance Coding Standard
- Physician Treatment Management Coding Standard
- Physics Coding Standard
- Simulation Coding Standard
- Treatment Devices Coding Standard
Radiation Oncology Management Educational Documents
- Radiation Oncology Utilization Review Matrix-2020
- Radiation Therapy Treatment Notification Form for Transition Cases
- Radiation Oncology Announcement Letter
- Radiation Oncology Solutions Program
- Frequently Asked Questions For Radiation Oncologists and Cancer Treatment Facilities
- Radiation Oncologists and Cancer Treatment Facilities Quick Reference Guide
- RadMD for Radiation Oncology Quick Start Guide
Clinical Guidelines
- Clinical Guidelines
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Refer to the Utilization Review Matrix document to view specific codes managed by NIA