Nevada
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

2019 Medicare Advantage individual benefits and formularies

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

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Provider News and Important Updates -- Nevada Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Provider News and Important Updates -- Nevada Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jul 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Provider News and Important Updates -- Nevada Medicare Dec 1, 2020

2022 Medicare Advantage service area and benefit updates

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Access to more claim denial information is now self-service

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

Annual wellness visits for Medicare Advantage members

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

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

June 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jun 1, 2020

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Anthem eye refraction and routine eye exam billing information

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

Anthem offers risk adjustment and documentation training

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

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

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

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Barrick Gold offers Medicare Advantage option

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Cancer Care Navigator

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

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

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Clinical Criteria updates

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Clinical Criteria updates

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Clinical Criteria updates

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Clinical criteria updates for specialty pharmacy

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

Clinical Criteria Updates Notification December 2020

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

Clinical Criteria Updates Notification November 2020

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

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

CMS Medicare Preclusion List effective April 1, 2019

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

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Coming soon: electronic attachments

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Coming soon: electronic attachments

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 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

Convenient, reliable at-home testing for colorectal cancer and diabetes care

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

COVID-19 Virus Talking Points - Medicare

April 2020 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2020

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jun 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News and Important Updates -- Nevada Medicare Dec 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News and Important Updates -- Nevada Medicare Nov 1, 2020

DME providers and physicians: important wheelchair prior authorization information

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

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

Dual Eligible Special Needs Plans -- provider training required

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

Electrical Workers Local 357 Health and Welfare Trust Fund in Nevada moves to Medicare Advantage plan from Anthem Blue Cross and Blue Shield (Anthem)

January 2021 Anthem Provider News and Important Updates -- Nevada Medicare Jan 1, 2021

Electronic claim payment reconsideration

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

Electronic data interchange process

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Fall prevention tips

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

FDA approvals and expedited pathways used -- new molecular entities

November 2020 Anthem Provider News and Important Updates -- Nevada Medicare Nov 1, 2020

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

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

Get faster payments with EFT

Medicare Advantage
February 2022 Anthem Provider News - Nevada Medicare Feb 1, 2022

Get your payments faster when you sign up for electronic funds transfer

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

HEDIS 2022: summary of changes from NCQA

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

HEDIS® medical record submission made easier with our Remote EMR Access Service

Medicare Advantage
October 2021 Anthem Provider News - Nevada Medicare Oct 1, 2021

Help patients heal from the comfort of home with Hospital in Home care

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Help protect your patients by providing medical ID protection -- best practices

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News and Important Updates - Nevada Medicare Jul 1, 2019

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

Medicare Advantage
January 2022 Anthem Provider News - Nevada Medicare Jan 1, 2022

In-Office Assessment program

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

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

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

Information about 2021 Special Needs Plans

Medicare Advantage
October 2021 Anthem Provider News - Nevada Medicare Oct 1, 2021

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

Medicare Advantage

New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Keep up with Medicare news

February 2021 Anthem Provider News and Important Updates -- Nevada Medicare Feb 1, 2021

Keep up with Medicare news

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Keep up with Medicare news

January 2021 Anthem Provider News and Important Updates -- Nevada Medicare Jan 1, 2021

Keep up with Medicare news

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

Keep up with Medicare news

October 2020 Anthem Provider News and Important Updates -- Nevada Medicare Oct 1, 2020

Keep up with Medicare news

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

Keep up with Medicare news

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Keep up with Medicare news

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Keep up with Medicare news

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

Keep up with Medicare news

February 2020 Anthem Provider News and Important Updates - Nevada Medicare Feb 1, 2020

Keep up with Medicare news

August 2020 Anthem Provider News and Important Updates -- Nevada Medicare Aug 1, 2020

Keep up with Medicare news

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

Keep up with Medicare news

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Keep up with Medicare news

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Keep up with Medicare news

July 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jul 1, 2020

Keep up with Medicare news

July 2019 Anthem Provider News and Important Updates - Nevada Medicare Jul 1, 2019

Keep up with Medicare news

December 2020 Anthem Provider News and Important Updates -- Nevada Medicare Dec 1, 2020

Keep up with Medicare news

March 2021 Anthem Provider News and Important Updates -- Nevada Medicare Mar 1, 2021

Keep up with Medicare news

November 2020 Anthem Provider News and Important Updates -- Nevada Medicare Nov 1, 2020

Keep up with Medicare news

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

Keep up with Medicare news

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Keep up with Medicare news

Medicare Advantage
February 2022 Anthem Provider News - Nevada Medicare Feb 1, 2022

Keep up with Medicare news

Medicare Advantage

Medical drug benefit Clinical Criteria updates

August 2022 Anthem Provider News - Nevada Medicare Aug 1, 2022

Keep up with Medicare news

June 2021 Anthem Provider News - Nevada Medicare Jun 1, 2021

Keep up with Medicare news

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

Keep up with Medicare news

May 2021 Anthem Provider News - Nevada Medicare May 1, 2021

Keep up with Medicare news

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Keep up with Medicare news

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

Keep up with Medicare news

June 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jun 1, 2020

Keep up with Medicare news

Medicare Advantage

Clinical criteria updates notification May 2021
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Keep up with Medicare news

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

Keep up with Medicare news

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