Indiana
Provider Communications

April 2019 Anthem Provider Newsletter - Indiana

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Title Category

Access patient-specific drug benefit information through electronic medical records

Medicaid

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

Administrative

Anthem expands specialty pharmacy prior authorization list*

Pharmacy

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

Medicaid

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

Medicare

Correction: Cervical length measurement by transvaginal ultrasound

Medicaid

Keep up with Medicare news - April 2019

Medicare

Medical Policy and Clinical Guidelines Updates - April 2019*

Medical Policy & Clinical Guidelines

New AIM Rehabilitative program effective July 1, 2019

Products & Programs

New on Interactive Care Reviewer (ICR): Request Clinical Appeals

Administrative

New Reimbursement Policy: Partial Hospitalization Program and Intensive Outpatient Program Services Facility*

Reimbursement Policies

Notice of Changes to Prior Authorization Requirements: April 2019

New Prior Authorization Requirements for providers and/or Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

Pharmacy information available at anthem.com

Pharmacy

Practitioners’ rights during credentialing process

Medicaid

Provider surveys

Medicaid

UM Process Change: Courtesy approval determination notifications

Administrative

Update regarding evaluation and management with modifier 25

Medicare

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

Medical Policy & Clinical Guidelines

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Update: Evaluation and management with Modifier 25

Medicaid

Why do patients stop taking their prescribed medications and what can you do to help them?

Administrative
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