Georgia
Provider Communications

June 2020 Anthem Provider News - Georgia

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Title Category

2020 Medicare risk adjustment provider trainings

Medicare

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
Administrative

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

Medicare

Anthem Commercial Risk Adjustment (CRA) program update: retrospective program begins; prospective program continues

Products & Programs

Anthem enhances process for submitting Behavioral Health authorizations - now available

Behavioral Health

Anthem Georgia preapproval list change notification 6/1/2020

Policy Updates

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Administrative

Anthem prior authorization updates for specialty pharmacy are available - June 2020

Pharmacy

Availity Portal Notification Center

Administrative

Diabetes HbA1c < 8 HEDIS guidance

Medicare

Follow-up after hospitalization for mental illness

Behavioral Health

Georgia Medical Policy and Clinical Guideline Updates 6/1/2020

Policy Updates

Keep up with Medicare news

Medicare

Modifier use reminders

Medicare

New Reimbursement Policies: Nurse Practitioner and Physician Assistant Services (Professional)

Reimbursement Policies

Pharmacy information available on anthem.com

Pharmacy

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

Administrative

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

Policy Updates

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medicare
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