Georgia
Provider Communications

February 2019 Anthem Provider Newsletter - Georgia

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Title Category

2019 BCBSGa provider Town Hall meeting schedule update

Administrative

Anthem Blue Cross and Blue Shield Medicare Advantage plan available to City of Atlanta retirees

Medicare

Anthem expands specialty pharmacy medical step therapy drug list

Pharmacy

Anthem expands specialty pharmacy prior authorization list

Pharmacy

Anthem eye refraction and routine eye exam billing information

Medicare

Anthem to enhance claim edits for outpatient facility claims

Administrative

Body Mass Index (BMI) Reimbursement Policy (Facility)

Reimbursement Policies

Clinical criteria updates for specialty pharmacy

Pharmacy

Clinical Practice and Preventive Health guidelines available on the web

Administrative

HEDIS 2019 Federal Employee Program® medical record request requirements

Administrative

HEDIS® 2019: Controlling High Blood Pressure (CBP)

Administrative

Injectable Substances with Related Injection Services Reimbursement Policy Update (Professional)

Reimbursement Policies

Keep up with Medicare news

Medicare

Member satisfaction with behavioral health outpatient services

Administrative

New specialty Medicare Part B device preferred product program

Medicare

Notification of preapproval list changes (February 2019)

Policy Updates

Pharmacy information available on the web

Pharmacy

Reminder to review ICD-10-CM coding guidelines (Professional)

Reimbursement Policies

Reminder to use in-network laboratory

Administrative

Reminder: Anthem follows Original Medicare policies

Medicare

Use grouped CPT codes for AIM Specialty Health authorizations

Medicare

Use the Provider Maintenance Form to update your practice information

Administrative
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