Kentucky
Provider Communications

Articles

Title Publication Category Date

Updated COVID-19 and Telehealth trainings for Medicaid and Medicare Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicare Advantage Provider News Archives and Medicaid Provider News - COVID-19.
COVID-19 Information - Kentucky State & Federal Mar 25, 2020

Reimbursement policy update: Bundled services and supplies (Professional)

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

Reimbursement policy update: DRG newborn inpatient stays (Facility)

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

Modifier 79 reminder: Professional

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

New Reimbursement Policies: Maternity Services and Multiple Delivery - Professional

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

Modifier 63 reminder: Professional

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

ICD-10-CM Coding Guidelines and Laterality: Professional

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

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

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

Claim editing update for Excludes1 notes

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

Reimbursement Policy Update: Bundled Services-Professional

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

Reimbursement Policy Update: Frequency Editing-Professional

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

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional

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

Outpatient Facility Edit Implementation

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

Reimbursement policy update: Frequency editing - Professional

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

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

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

Integrated Medical and Behavioral Healthcare Services Billing

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

Reimbursement policy update: Modifier Rules - Professional

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

Tips for billing CPT modifier 33

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

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

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

New Reimbursement Policy - Facility Revenue Code Billing

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

Reimbursement Policy Update - Readmissions (Facility)

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

View reimbursement policies online at anthem.com

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

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

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

Reimbursement Policy Update: Claims requiring additional documentation (Facility)

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

Reminder about system updates

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

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

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

Update regarding E/M with modifier 25 - Professional*

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

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

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

System updates for 2020 (Professional)

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

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

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

Reimbursement policy update: Laboratory and venipuncture (Professional)

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

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

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

Reimbursement policy update: Outpatient facility claim edits

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

Reimbursement Policy Updates: February 2019*

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

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

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

New Reimbursement Policy: Ambulance Transportation -- Professional*

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

Reimbursement Policy Update: Frequency Editing -- Professional*

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

Reimbursement Policy Update: Clinical Validation -- Professional*

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

Reimbursement policy update: Sexually transmitted infections testing - Professional

September 2021 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2021

Reimbursement policy reminder: Readmission - Facility

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

Reimbursement policy update: Frequency editing - Professional

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

New reimbursement policy: Non-patient laboratory services - Facility

July 2021 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2021

New reimbursement policy update: Inpatient Facility Transfers - Facility

September 2021 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Consultations - Professional

July 2021 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Drug Screen Testing - Professional

September 2021 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2021

Update: Drug Screen Testing - Professional*

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

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

January 2019 Anthem Kentucky Provider Newsletter Reimbursement Policies Jan 1, 2019

Reimbursement policy update: Virtual Visits (Professional and Facility)

August 2021 Anthem Provider News - Kentucky Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Claims requiring additional documentation (Facility)

August 2021 Anthem Provider News - Kentucky Reimbursement Policies Aug 1, 2021

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

August 2021 Anthem Provider News - Kentucky Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Bundled services and supplies (Professional)

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

Reimbursement policy update: Modifier rules (Professional)

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

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

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

Bundled Services and Supplies (Professional)

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

Reimbursement for Convenience Surgical Supply Kits: Professional

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

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

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

Reimbursement policy update: Frequency Editing (Professional)

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

View reimbursement policies online at anthem.com

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

Reimbursement Policy Updates - December 2018

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

Reimbursement Policy Update - Scope of License (Professional)

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

Reimbursement policy update: Claims Requiring Additional Documentation - Facility

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

Reimbursement policy update: Emergency Room Transfers - Facility

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

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

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

Reimbursement Policy update: Place of Service- Professional

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

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

September 2018 Anthem Kentucky eUpdate Reimbursement Policies Aug 30, 2018

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

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

Reimbursement Policy Update: Claims requiring additional documentation (Facility)

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

Let’s vaccinate

June 2021 Anthem Provider News - Kentucky Products & Programs Jun 1, 2021

Update to AIM Specialty Health clinical appropriateness guidelines

October 2018 Anthem Kentucky Provider Newsletter Products & Programs Sep 28, 2018

Level of care medical necessity reviews for upper and lower endoscopy procedures begin October 1, 2020

July 2020 Anthem Provider News - Kentucky Products & Programs Jul 1, 2020

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 Anthem Kentucky Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 Anthem Kentucky Provider Newsletter Products & Programs Sep 28, 2018

Anthem fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Kentucky Provider Newsletter Products & Programs Sep 28, 2018

Health Care Reform (including Health Insurance Exchange) Updates and Notifications

October 2018 Anthem Kentucky Provider Newsletter Products & Programs Sep 28, 2018

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News - Kentucky Products & Programs Jan 1, 2020

Changes in Automotive Accounts AIM Processing effective Jan. 1

Dec. 14, 2018 Anthem Kentucky Network eUpdate Products & Programs Dec 14, 2018

Reminder and update: new Rehabilitative Program effective July 1, 2019

June 2019 Anthem Provider Newsletter - Kentucky Products & Programs Jun 1, 2019

Reminder: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Provider News - Kentucky Products & Programs Dec 1, 2019

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Kentucky Products & Programs Jul 1, 2021

Reminder: Back Pain Guide program effective July 19, 2021

July 2021 Anthem Provider News - Kentucky Products & Programs Jul 1, 2021

Kentucky Pathway Transition HMO

November 2018 Anthem Kentucky Network eUpdate Products & Programs Nov 1, 2018

REMINDER: new AIM Rehabilitative Program effective November 1, 2019

November 2019 Anthem Provider News - Kentucky Products & Programs Nov 1, 2019

Some requests to AIM may require documentation to support prior authorization

August 2021 Anthem Provider News - Kentucky Products & Programs Aug 1, 2021

Upcoming Changes for Automotive Accounts

December 2018 Anthem Kentucky Provider Newsletter Products & Programs Dec 1, 2018

GM Precertification and Integrated Health Management (360 Health) changes for CY 2019

December 2018 Anthem Kentucky Provider Newsletter Products & Programs Dec 1, 2018

Site of care medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020

September 2020 Anthem Provider News - Kentucky Products & Programs Sep 1, 2020

Meet your Cancer Care Navigator

Anthem’s new cancer support program helps improve outcomes while easing burdens for you and your patients.
September 2020 Anthem Provider News - Kentucky Products & Programs Sep 1, 2020

Predictive analytics guide proactive support to patients undergoing chemotherapy resulting in lowered admissions

September 2020 Anthem Provider News - Kentucky Products & Programs Sep 1, 2020

UPDATE: new Rehabilitative Program now effective August 1, 2019

Anthem Kentucky UPDATE: new Rehabilitative Program now effective August 1, 2019 Products & Programs Jul 3, 2019

New AIM Rehabilitative program effective July 1, 2019

April 2019 Anthem Provider Newsletter - Kentucky Products & Programs Apr 1, 2019

UPDATE: new AIM Rehabilitative Program will begin November 1, 2019

October 2019 Anthem Provider News - Kentucky Products & Programs Oct 1, 2019

UPDATE: New Rehabilitative Program remains temporarily delayed

Anthem Kentucky UPDATE: New Rehabilitative Program remains temporarily delayed Products & Programs Jul 16, 2019

Updates for specialty pharmacy are available - April 2021

April 2021 Anthem Provider News - Kentucky Pharmacy Apr 1, 2021

Pharmacy information available at anthem.com

April 2021 Anthem Provider News - Kentucky Pharmacy Apr 1, 2021

Clinical criteria and prior authorization updates for specialty pharmacy are available

August 2019 Anthem Provider News - Kentucky Pharmacy Aug 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News - Kentucky Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News - Kentucky Pharmacy Jul 1, 2019

Updates for specialty pharmacy are available - June 2021

June 2021 Anthem Provider News - Kentucky Pharmacy Jun 1, 2021

IngenioRx introduces new pharmacy network in 2021

January 2021 Anthem Provider News - Kentucky Pharmacy Jan 1, 2021

Prior authorization updates for specialty pharmacy are available - January 2021

January 2021 Anthem Provider News - Kentucky Pharmacy Jan 1, 2021
Page 1 of 9 Next Page