Missouri
Provider Communications

June 2020 Anthem Provider News - Missouri

Download as PDF

Title Category

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Medicare

UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayed

Products & Programs

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Reminder: Anthem requires National Drug Code for professional and facility outpatient claims effective June 15, 2020

Pharmacy

REMINDER: AIM Rehabilitative Program Pediatric Exclusions

Medical Policy & Clinical Guidelines

Quality Corner: Follow-Up after Hospitalization for Mental Illness

Behavioral Health

Quality Corner: CPT® Category II Codes - Collaborating for enhanced patient care

Administrative

Pharmacy information available at anthem.com

Pharmacy

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

Reimbursement Policies

Modifier use reminders

Medicare

Medicare News - June 2020

View these Medicare articles:
- Acquisition of Beacon Health Options
- MCG care guidelines – 24th edition
Medicare

Medical Policy and Clinical Guideline Updates - June 2020

Medical Policy & Clinical Guidelines

Diabetes HbA1c < 8 HEDIS guidance

Medicare

Availity Portal Notification Center

Administrative

Anthem prior authorization updates for specialty pharmacy are available - June 2020

Pharmacy

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Administrative

Anthem enhances process for submitting behavioral health authorizations - now available

Behavioral Health

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

Administrative

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

Medicare

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
Administrative

2020 Medicare risk adjustment provider trainings

Medicare
Page 1 of 1