Colorado
Provider Communications

January 2021 Anthem Provider News and Important Updates -- Colorado

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Title Category

Working with Anthem Webinars -- January 2021 schedule: What’s new in 2021

Administrative

Availity Attachment Tools for Anthem and Affiliate Payers -- Live Webinars

Administrative

New features added to Interactive Care Reviewer

Administrative

Find out in minutes why your claim denied

Administrative

Self-service, digital transactions are fast and easy

Administrative

New Blue HPN® plans in effect

Administrative

Evaluation and Management Changes 2021

Administrative

It is almost CAHPS survey time!

Administrative

Drug fee schedule update

Administrative

2021 FEP® Benefit information available online

Federal Employee Plan (FEP)

MCG care guidelines 24th Edition Customization (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

Medicare

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

Medicare

Medical drug benefit Clinical Criteria updates

Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Keep up with Medicare news

Medicare

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
Pharmacy

IngenioRx Introduces New Pharmacy Network in 2021

Pharmacy

Frequency Editing (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Guidelines for Reporting Timed Units: Physical Medicine and Rehab Services (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Modifier Rules (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Unit Frequency Maximum for Drugs and Biologic Substances (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Multiple Diagnostic Imaging Procedures (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

System updates impacting Professional reimbursement policies for 2021

Reimbursement Policies

Outpatient System updates for Facility reimbursement policies 2021

Reimbursement Policies
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