Nevada
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

MA members receive incentives for completing screenings

August 2018 Anthem Provider Newsletter - NV Medicare Aug 17, 2018

Submit Prior Authorizations medication requests electronically; new phone and fax numbers for MA prescription PAs effective September 1

August 2018 Anthem Provider Newsletter - NV Medicare Aug 17, 2018

Keep up with Medicare news

August 2018 Anthem Provider Newsletter - NV Medicare Aug 17, 2018

Mailing Address for Federal Employee Program® (FEP) Paper Claims and Claims Related Correspondence

August 2018 Anthem Provider Newsletter - NV Federal Employee Plan (FEP) Aug 17, 2018

Electronic Data Interchange migration to Availity

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

Important information about utilization management

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

Members’ Rights and Responsibilities Statement

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

Reimbursement Policy Update: Medical Recalls

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

Medical Policies update

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

Clinical Utilization Management Guidelines update

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

2018 Utilization Management Affirmative Statement concerning utilization management decisions

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

DME providers and physicians: important wheelchair prior authorization information

September 2018 Anthem Provider Newsletter - NV Medicare Aug 31, 2018

CMS issues regulatory changes for short- and long- acting narcotics; days’ supply limits effective January 1, 2019

September 2018 Anthem Provider Newsletter - NV Medicare Aug 31, 2018

MyDiversePatients.com addresses health care disparities

September 2018 Anthem Provider Newsletter - NV Medicare Aug 31, 2018

Keep up with Medicare news

September 2018 Anthem Provider Newsletter - NV Medicare Aug 31, 2018

Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) to conduct post-payment reviews of distinct procedural services modifiers

September 2018 Anthem Provider Newsletter - NV Medicaid Aug 31, 2018

Update your provider demographics via the Provider Maintenance Form

September 2018 Anthem Provider Newsletter - NV Medicaid Aug 31, 2018

Coding Spotlight - Pregnancy: A provider’s guide to diagnose and code for pregnancy

September 2018 Anthem Provider Newsletter - NV Medicaid Aug 31, 2018

Miscellaneous durable medical equipment billing guidelines

September 2018 Anthem Provider Newsletter - NV Medicaid Aug 31, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Provider Newsletter - NV Medicare Oct 1, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Provider Newsletter - NV Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Provider Newsletter - NV Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 Anthem Provider Newsletter - NV Medicare Oct 1, 2018

Services requiring prior authorization

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Prior authorization requirements for Darzalex (daratumumab) drug

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Prior authorization requirements for Cabazitaxel (Jevtana)

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Online registration processes for electronic remittance advices and electronic funds transfers

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) fights opioid addiction

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Coding Spotlight - Obesity

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update

October 2018 Anthem Provider Newsletter - NV Medicaid Oct 1, 2018

Please evaluate statin use for Medicare Advantage members with diabetes, cardiovascular disease

November 2018 Anthem Provider Newsletter - NV Medicare Nov 1, 2018

Prior authorization requirements for Somatrem

November 2018 Anthem Provider Newsletter - NV Medicaid Nov 1, 2018

Procedure codes update

November 2018 Anthem Provider Newsletter - NV Medicaid Nov 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update

November 2018 Anthem Provider Newsletter - NV Medicaid Nov 1, 2018

Coordination of Benefits for an FEP® member

December 2018 Anthem Provider Newsletter - NV Federal Employee Plan (FEP) Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

Accessing remittance inquiry beginning December 1, 2018

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Pharmacy management information

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Practitioners’ rights during credentialing process

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Claims Requiring Additional Documentation – Reimbursement Policy Update

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Remittance Inquiry tool available December 1, 2018

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Vaginal birth after cesarean shared decision-making aid available

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Anthem adopts MCG care guidelines for physical health - acute care services and behavioral health services

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Prior authorization requirements for Interferon beta-1a

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Coding spotlight: substance use disorders and smoking

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Procedure codes may be denied

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Quarterly pharmacy formulary change notice

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Improving the Patient Experience continuing medical education

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Quality Management information

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

EDI Gateway migration

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - NV Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - NV Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Provider Newsletter - NV Medicare Jan 1, 2019

Improving the Patient Experience continuing medical education

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

Quality Management information

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

Electronic claim payment reconsideration

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - NV Federal Employee Plan (FEP) Feb 1, 2019

Reminder - Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

New specialty pharmacy medical step therapy requirements

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Prior authorization requirements for Sublocade

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Coding spotlight: diabetes - provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

My Diverse Patients: a website to support your diverse patients

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Retroactive rate adjustments

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Dual Eligible Special Needs Plans -- provider training required

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

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

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

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

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Clinical Criteria updates

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Provider surveys

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Fall prevention tips

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Modifier 63: Procedure Performed on Infants Less Than 4 kg - Policy 06-015

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Keep up with Medicare news

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Clinical Criteria updates

May 2019 Anthem Provider Newsletter - Nevada Medicaid May 1, 2019
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