California
Provider Communications

July 2021 Anthem Blue Cross Provider News - California

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Title Category

Clinical quality in practice: CME webinar series

Administrative

Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims

Administrative

Proper coding for in-home monitoring can make a measurable difference for INR

Administrative

Medical practices – are you keeping something from us

Administrative

Another mark of the pandemic: An increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors
Administrative

Overlapping service areas

Behavioral Health

Where and how to submit BlueCard claims

Behavioral Health

BlueCard® program quick tips

Behavioral Health

Practice status: open or closed

Behavioral Health

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Cal MediConnect

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
Cal MediConnect

March 2021 Medical drug benefit clinical criteria updates

Cal MediConnect

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

Cal MediConnect

How to enroll in electronic fund transfer for faster remittance

Digital Tools

Electronic claim response files

Digital Tools

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

Digital Tools

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Medi-Cal Managed Care

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

Medi-Cal Managed Care

Coding spotlight: Mental disorders in childhood

Medi-Cal Managed Care

What matters most: Improving the patient experience

Medi-Cal Managed Care

Resources to support your diverse patient panel

Medi-Cal Managed Care

Infusion step therapy retraction notice

Medi-Cal Managed Care

Specialty pharmacy prior authorization retraction notice

Medi-Cal Managed Care

February 2021 medical policies and utilization management guidelines update

Medi-Cal Managed Care

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327

Medi-Cal Managed Care

Certain specialty medication precertification requests may require additional documentation

Medi-Cal Managed Care

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
Medi-Cal Managed Care

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837

Medi-Cal Managed Care

March 2021 medical drug benefit clinical criteria updates

Medi-Cal Managed Care

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Medicare

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

Medicare

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

Medicare

March 2021 Medical drug benefit clinical criteria updates

Medicare

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

Medicare

Certain specialty medication precertification requests may require additional documentation

Pharmacy
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