Maine
Provider Communications

January 2021 Anthem Maine Provider News

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Title Category

New features added to Interactive Care Reviewer

Administrative

Find out in minutes why your claim denied

Administrative

Self-service, digital transactions are fast and easy

Administrative

Evaluation and Management changes for 2021

Administrative

System updates for 2021 for professional services - professional

Administrative

System updates for 2021 for outpatient services - facility

Administrative

Claims editing update for ICD-10-CM Excludes1 notes

Administrative

It’s almost CAHPS survey time

Administrative

Availity Attachment tools live webinars

Administrative

MCG Care Guidelines 24th Edition customization

Administrative

2021 FEP® Benefit information available online

Federal Employee Plan (FEP)

Medical policy and clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

Medical drug benefit clinical criteria updates

Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Keep up with Medicare news

Medicare

Prior authorization updates for specialty pharmacy

Pharmacy

Reimbursement policy update: Multiple Diagnostic Imaging Procedures - professional

Reimbursement Policies

Reimbursement policy update: Frequency Editing - professional

Reimbursement Policies

Reimbursement policy update: Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

Reimbursement Policies

Reimbursement policy update: Modifier Rules - professional

Reimbursement Policies

Reimbursement policy update: Unit Frequency Maximum for Drugs and Biologicals - professional

Reimbursement Policies
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