Indiana
Provider Communications

Articles Category: Policy Updates / Reimbursement Policies

Title Publication Category Date

RETRACTION: Inpatient Facility Transfers - facility reimbursement policy

December 2021 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional*

*Change to Prior Authorization Requirements
December 2021 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Bundled services and supplies (Professional)*

December 2020 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2020

Reimbursement policy update: DRG newborn inpatient stays (Facility)*

December 2020 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2020

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - Professional*

*Change to Prior Authorization Requirements
December 2021 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Virtual Visits - Professional and Facility

December 2021 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2021

Clinical Validation: Professional*

July 2019 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2019

New Reimbursement Policies: Maternity Services and Multiple Delivery - Professional*

September 2019 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2019

Modifier 79 reminder: Professional

July 2019 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2019

Modifier 63 reminder: Professional

July 2019 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2019

ICD-10-CM Coding Guidelines and Laterality: Professional

July 2019 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2019

New Reimbursement Policy: Intensity Modulated Radiation Therapy Planning and Delivery - Professional*

September 2019 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2019

Reimbursement Policy Update: Bundled Services-Professional*

August 2019 Anthem Provider News - Indiana Reimbursement Policies Aug 1, 2019

Reimbursement Policy Update: Frequency Editing-Professional*

August 2019 Anthem Provider News - Indiana Reimbursement Policies Aug 1, 2019

New reimbursement policy: Transitional Care Management - professional

July 2022 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2022

New reimbursement policy: Modifier FB - Professional and Facility*

*Change to Prior Authorization Requirements
July 2022 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Outpatient Facility Edit Implementation*

January 2020 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2020

Reimbursement policy update: Frequency editing - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Modifier Rules - Professional*

*Change to Prior Authorization Requirements
July 2022 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Laboratory and venipuncture services - professional and facility*

*Change to Prior Authorization Requirements
July 2022 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2022

New reimbursement policy: Multiple and Bilateral Surgery Processing - Facility*

*Change to Prior Authorization Requirements
October 2021 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2021

New Reimbursement Policy - Facility Revenue Code Billing

October 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Sep 28, 2018

Reimbursement policy clarification: Claims requiring additional documentation - Facility

October 2021 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2021

Reimbursement Policy Update - Readmissions (Facility)

October 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Sep 28, 2018

Reimbursement policy update: Place of Service - Facility*

*Change to Prior Authorization Requirements
July 2022 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2022

View reimbursement policies online at anthem.com

October 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Sep 28, 2018

Retraction for reimbursement policy: Sexually Transmitted Infections - Professional

July 2022 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59, XE, XP, XS, XU - professional*

*Change to Prior Authorization Requirements
July 2022 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2022

Claims editing update for ICD-10-CM Excludes 1 notes

March 2021 Anthem Provider News - Indiana Reimbursement Policies Mar 1, 2021

New reimbursement policy update: Place of Service Evaluation and Management - Facility*

*Change to Prior Authorization Requirements
March 2021 Anthem Provider News - Indiana Reimbursement Policies Mar 1, 2021

Reimbursement Policy Update: Claims requiring additional documentation (Facility)*

May 2020 Anthem Provider News - Indiana Reimbursement Policies May 1, 2020

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

June 2020 Anthem Provider News - Indiana Reimbursement Policies Jun 1, 2020

Reminder about system updates

May 2020 Anthem Provider News - Indiana Reimbursement Policies May 1, 2020

New Reimbursement Policies: Durable Medical Equipment, Rent to Purchase Durable Medical Equipment, and Modifiers (Professional)

December 2019 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2019

System updates for 2020 (Professional)

December 2019 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2019

Reimbursement policy update: Emergency department - leveling of Evaluation and Management services (Facility)*

October 2020 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Laboratory and venipuncture (Professional)*

October 2020 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Claims requiring additional documentation policy (Facility)

October 2020 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Outpatient facility claim edits

June 2021 Anthem Provider News - Indiana Reimbursement Policies Jun 1, 2021

Reimbursement Policy Updates: February 2019*

February 2019 Anthem Indiana Provider Newsletter Reimbursement Policies Feb 1, 2019

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

February 2019 Anthem Indiana Provider Newsletter Reimbursement Policies Feb 1, 2019

New Reimbursement Policy: Ambulance Transportation -- Professional*

June 2019 Anthem Provider Newsletter - Indiana Reimbursement Policies Jun 1, 2019

Reimbursement Policy Update: Frequency Editing -- Professional*

June 2019 Anthem Provider Newsletter - Indiana Reimbursement Policies Jun 1, 2019

Reimbursement policy reminder: Readmission - Facility

May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

New reimbursement policy: Non-patient laboratory services - Facility*

*Change to Prior Authorization Requirements
July 2021 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Sexually transmitted infections testing - Professional*

*Change to Prior Authorization Requirements
September 2021 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Frequency editing - Professional

May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

Reimbursement policy update: Consultations - Professional*

IN: *Change to Prior Authorization Requirements
July 2021 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2021

New reimbursement policy update: Inpatient Facility Transfers - Facility* - RETRACTION

*Change to Prior Authorization Requirements
September 2021 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2021

Update: Drug Screen Testing - Professional*

May 2019 Anthem Provider Newsletter - Indiana Reimbursement Policies May 1, 2019

Reimbursement policy update: Drug Screen Testing - Professional*

*Change to Prior Authorization Requirements
September 2021 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Virtual Visits (Professional and Facility)*

*Change to Prior Authorization Requirements
August 2021 Anthem Provider News - Indiana Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Claims requiring additional documentation (Facility)*

*Change to Prior Authorization Requirements
August 2021 Anthem Provider News - Indiana Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU*

*Change to Prior Authorization Requirements
August 2021 Anthem Provider News - Indiana Reimbursement Policies Aug 1, 2021

New reimbursement policy: Documentation standards for episodes of care (Professional)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Modifier rules (Professional)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Multiple diagnostic imaging facility (Facility)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Distinct Procedural Services- Modifiers 59, XE, XP, XS, XU (Professional)*

September 2020 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing (Professional)*

September 2020 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2020

View reimbursement policies online at anthem.com

December 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Updates - December 2018

December 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Update - Scope of License (Professional)

December 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Dec 1, 2018

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

November 2021 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2021

Reimbursement policy update: Claims Requiring Additional Documentation - Facility*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

Reimbursement policy update: Emergency Room Transfers - Facility*

February 2021 Anthem Provider News - Indiana Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

February 2021 Anthem Provider News - Indiana Reimbursement Policies Feb 1, 2021

Reimbursement Policy update: Place of Service-Professional*

October 2019 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2019

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

September 2018 Anthem Indiana eUpdate Reimbursement Policies Aug 30, 2018

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

April 2019 Anthem Provider Newsletter - Indiana Reimbursement Policies Apr 1, 2019

Reimbursement Policy Update: Claims requiring additional documentation (Facility)*

August 2020 Anthem Provider News - Indiana Reimbursement Policies Aug 1, 2020

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

*Change to Prior Authorization Requirements
June 2022 Anthem Provider News - Indiana Reimbursement Policies Jun 1, 2022
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