Georgia
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Reimbursement Policy Update: DRG Inpatient Facility Transfers

Medicare Advantage
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Prior authorization/precertification form notification

Medicare Advantage
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Utilization management authorization rule operations

Medicare Advantage
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Keep up with Medicare news

Medicare Advantage

Clinical criteria updates notification May 2021
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Change in email submission of service requests for Federal Employee Program® members

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Federal Employee Plan (FEP) Aug 1, 2021

Preventing claims denials: shingles vaccine

Medicare Advantage
August 2021 Anthem Provider News - Georgia Medicare Aug 1, 2021

Keep up with Medicare news

Medicare Advantage
August 2021 Anthem Provider News - Georgia Medicare Aug 1, 2021

New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Let’s Vaccinate

Medicare Advantage: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

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

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

March 2021 medical drug benefit clinical criteria updates

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

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

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

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

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Keep up with Medicare news

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Georgia State & Federal Jun 1, 2021

MCG care guidelines 25th edition

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

Inpatient readmissions policy reminder

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

Keep up with Medicare news

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

Maximizing efficient, high quality COVID-19 screenings

Medicare Advantage
May 2021 Anthem Provider News - Georgia Medicare May 1, 2021

Keep up with Medicare news

Medicare Advantage
May 2021 Anthem Provider News - Georgia Medicare May 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

Federal Employee Program® (FEP)
April 2021 Anthem Provider News - Georgia State & Federal Apr 1, 2021

Medical drug benefit clinical criteria updates

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021

Notify us of telehealth services

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021

In-office assessment program

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021

Access to more claim denial information is now self-service

Medicare Advantage
March 2021 Anthem Provider News - Georgia Medicare Mar 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

Medicare Advantage
March 2021 Anthem Provider News - Georgia Medicare Mar 1, 2021

New provider directory indicator for telehealth services

Medicare Advantage
March 2021 Anthem Provider News - Georgia Medicare Mar 1, 2021

Keep up with Medicare news

Medicare Advantage
March 2021 Anthem Provider News - Georgia Medicare Mar 1, 2021

Medical drug benefit Clinical Criteria updates

Medicare Advantage
February 2021 Anthem Provider News - Georgia Medicare Feb 1, 2021

Keep up with Medicare news

Medicare Advantage
February 2021 Anthem Provider News - Georgia Medicare Feb 1, 2021

2021 FEP® Benefit information available online

January 2021 Anthem Provider News - Georgia State & Federal Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

Bartow County Government offers Medicare Advantage option

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Southern Company offers Medicare Advantage option

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Medicare Advantage group retiree member eligibility, alpha prefix FAQ

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Keep up with Medicare news

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

FDA approvals and expedited pathways used: new molecular entities

November 2020 Anthem Provider News - Georgia Medicare Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Anthem Provider News - Georgia Medicare Nov 1, 2020

Provider Chat: A fast, easy way to get your questions answered

November 2020 Anthem Provider News - Georgia Medicare Nov 1, 2020

Preferred continuous glucose monitors

November 2020 Anthem Provider News - Georgia Medicare Nov 1, 2020

Keep up with Medicare news

November 2020 Anthem Provider News - Georgia Medicare Nov 1, 2020

Social determinants of health support expanding GroundGame Health

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Prior authorization requirements for the below codes

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Prior authorization requirements for the below codes

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Provider News - Georgia Medicare Sep 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Provider News - Georgia Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Anthem Provider News - Georgia Medicare Sep 1, 2020

Electronic Claims Submission: Clinical Laboratory Improvement Amendments (CLIA)

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

AIM Musculoskeletal program expansion

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

2020 Medicare risk adjustment provider training

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

Keep up with Medicare news

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News - Georgia State & Federal Jul 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

In-office assessment program

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

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

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Reimbursement policy: policy update-unlisted, unspecified or miscellaneous codes

May 2020 Anthem Provider News - Georgia Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News - Georgia Medicare May 1, 2020

Keep up with Medicare news

May 2020 Anthem Provider News - Georgia Medicare May 1, 2020

Medical drug benefit Clinical Criteria updates November 2019

April 2020 Anthem Provider News - Georgia Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Provider News - Georgia Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates December 2019

April 2020 Anthem Provider News - Georgia Medicare Apr 1, 2020

Keep up with Medicare news

April 2020 Anthem Provider News - Georgia Medicare Apr 1, 2020

Provider COVID-19 update: State Health Benefit Plan

April 2020 Anthem Provider News - Georgia State Health Benefit Plan Mar 27, 2020

Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Important Medicare Advantage Updates.
COVID-19 Information Medicare Mar 25, 2020

Outpatient Rehabilitation Program transition: new prior authorization requirements

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

Personal Home Helper benefit

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

Nonpreferred products and corresponding preferred alternatives

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

Keep up with Medicare news

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News - Georgia Medicare Feb 1, 2020

Reimbursement policy update: Modifier 62: Co-surgeons

February 2020 Anthem Provider News - Georgia Medicare Feb 1, 2020

Keep up with Medicare news

February 2020 Anthem Provider News - Georgia Medicare Feb 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020
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