Georgia
Provider Communications

Articles

Title Publication Category Date

Claims Requiring Additional Documentation reimbursement policy update (Facility)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Assistant Surgeon Coding update (professional)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Documentation and Reporting Guidelines for E/M Services update (professional)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Routine Obstetrical Services update (professional)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Notification of preapproval list changes

October 2018 BCBSGa Provider Newsletter Policy Updates Oct 1, 2018

Medical policy and clinical guideline updates 10/1/2018

October 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

BCBSGa transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

Health Services must be reported in accordance to Coded Service Identifier guidelines

October 2018 BCBSGa Provider Newsletter Administrative Oct 1, 2018

Update to Durable Medical Equipment – effective October 14, 2018

October 2018 BCBSGa Provider Newsletter Administrative Oct 13, 2018

Anthem taps Paul Marchetti to lead company’s overall care transformation strategy

November 1, 2018 BCBSGa Network eUPDATE Administrative Nov 1, 2018

Effective date guidelines change

November 1, 2018 BCBSGa Network eUPDATE Medical Policy & Clinical Guidelines Nov 1, 2018

HEDIS® 2018 commercial results are in

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Use the Provider Maintenance Form to update your practice information

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Clinical Practice and Preventive Health guidelines available on the web

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Introducing SmartShopper, the consumer shopping and savings program for medical care

SmartShopper is an incentive and engagement program that activates members to change behavior and shop for health care.
December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

Case Management Program

December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

ConditionCare Program benefits patients and physicians

December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

BCBSGa accepts electronic prior authorization requests for prescription medications online

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services (Professional)

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

System updates for 2019 (Professional)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Coding tip: Claims processed with modifier 79 should be reported by the same health care professional

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Bundled services and supplies (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for convenience surgical supply kits (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Scope of License reimbursement policy update (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Updates to AIM musculoskeletal surgery clinical appropriateness guidelines

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Update to AIM clinical appropriateness guidelines

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Restructure of AIM advanced imaging clinical appropriateness guidelines

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Notification of preapproval list changes (December 2018)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 12/1/2018

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Medical Policies updated

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

About our Network eUPDATE email tool

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

2019 BCBSGa provider Town Hall meeting schedule

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Company works to simplify payment recovery process for National Accounts membership

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Request an appeal using Interactive Care Reviewer (ICR)

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits patients and physicians

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Coordination of care

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Important information about utilization management

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Members’ rights and responsibilities

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) certified shared decision making aid available on the web

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

2019 FEP Benefit information available online

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

BCBSGa is now Anthem

January 2019 Anthem Provider Newsletter - Georgia Administrative Jan 1, 2019

HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Anthem Provider Newsletter - Georgia Administrative Jan 1, 2019

Provider itemized bill submission criteria

January 2019 Anthem Provider Newsletter - Georgia Administrative Jan 1, 2019

HEDIS® 2019 starts early February

January 2019 Anthem Provider Newsletter - Georgia Administrative Jan 1, 2019

Use the Provider Maintenance Form to update your practice information

January 2019 Anthem Provider Newsletter - Georgia Administrative Jan 1, 2019

Clinical Practice and Preventive Health guidelines available on the web

January 2019 Anthem Provider Newsletter - Georgia Administrative Jan 1, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Provider Newsletter - Georgia Pharmacy Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Provider Newsletter - Georgia Pharmacy Jan 1, 2019

Pharmacy information available on the web

January 2019 Anthem Provider Newsletter - Georgia Pharmacy Jan 1, 2019

New Autism codes effective January 1, 2019

January 2019 Anthem Provider Newsletter - Georgia Policy Updates Jan 1, 2019

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Provider Newsletter - Georgia Reimbursement Policies Jan 1, 2019

Medical policy and clinical guideline updates

January 2019 Anthem Provider Newsletter - Georgia Medical Policy & Clinical Guidelines Jan 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - Georgia Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - Georgia Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Provider Newsletter - Georgia Medicaid Jan 1, 2019

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 1/1/2019

January 2019 Anthem Provider Newsletter - Georgia Medical Policy & Clinical Guidelines Jan 1, 2019

Notification of preapproval list changes (January 2019)

January 2019 Anthem Provider Newsletter - Georgia Policy Updates Jan 1, 2019

New Year brings new ID cards and new ID numbers for many Anthem members

January 24, 2019 Anthem Network eUPDATE Administrative Jan 24, 2019

Anthem announces early launch of IngenioRx

N/A Pharmacy Jan 30, 2019

2019 BCBSGa provider Town Hall meeting schedule update

February 2019 Anthem Provider Newsletter - Georgia Administrative Feb 1, 2019

Anthem to enhance claim edits for outpatient facility claims

February 2019 Anthem Provider Newsletter - Georgia Administrative Feb 1, 2019

Reminder to use in-network laboratory

February 2019 Anthem Provider Newsletter - Georgia Administrative Feb 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - Georgia Administrative Feb 1, 2019

HEDIS® 2019: Controlling High Blood Pressure (CBP)

February 2019 Anthem Provider Newsletter - Georgia Administrative Feb 1, 2019

Member satisfaction with behavioral health outpatient services

February 2019 Anthem Provider Newsletter - Georgia Administrative Feb 1, 2019

Use the Provider Maintenance Form to update your practice information

February 2019 Anthem Provider Newsletter - Georgia Administrative Feb 1, 2019

Clinical Practice and Preventive Health guidelines available on the web

February 2019 Anthem Provider Newsletter - Georgia Administrative Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Pharmacy information available on the web

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Body Mass Index (BMI) Reimbursement Policy (Facility)

February 2019 Anthem Provider Newsletter - Georgia Reimbursement Policies Feb 1, 2019

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

February 2019 Anthem Provider Newsletter - Georgia Reimbursement Policies Feb 1, 2019

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

February 2019 Anthem Provider Newsletter - Georgia Reimbursement Policies Feb 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Notification of preapproval list changes (February 2019)

February 2019 Anthem Provider Newsletter - Georgia Policy Updates Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

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

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - Georgia Pharmacy Mar 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - Georgia Pharmacy Mar 1, 2019
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