Nevada
Provider Communications

Articles

Title Publication Category Date

Information from Anthem for Care Providers about COVID-19 (Updated August 8, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Nevada Administrative Aug 8, 2022

Nevada referral management policy

Nevada referral management policy Policy Updates Aug 5, 2022

New patient evaluation and management services when reported for the same patient within the last three years

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

Timely updates help keep our provider directories current

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

New provider manual available

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

Reminder: inpatient/outpatient commercial claim denials

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

Update: outpatient prepay itemized bill review program (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

Performance enhancements to the authorization application on Availity

August 2022 Anthem Provider News - Nevada Digital Tools Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Provider News - Nevada Digital Tools Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

August 2022 Anthem Provider News - Nevada Digital Tools Aug 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News - Nevada Behavioral Health Aug 1, 2022

Pharmacy information available on the provider website

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

Specialty pharmacy updates (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Nevada Pharmacy Aug 1, 2022

Nevada referral management policy

August 2022 Anthem Provider News - Nevada Policy Updates Aug 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

Chlamydia screening

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

Using SBIRT to address opioid and substance use disorders

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

The cost of alcohol use disorder

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

Keep up with Medicaid news

Medicaid

Medical drug benefit Clinical Criteria updates

Residential treatment center services

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

Prior authorization requirement changes effective November 1, 2022

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

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Nevada Administrative Jul 20, 2022

Nevada referral management policy

All members on a product with referral management will have an attributed PCP within the product parameters.
Nevada referral management policy Policy Updates Jul 7, 2022

Keep up with Medicare news

Medicare Advantage

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

Medical drug benefit Clinical Criteria updates

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Drug screening and testing policy changes

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Experience the difference: Your Provider Experience team

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

New process for making requests to the state to consider covering non-covered codes

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Keep up with Medicaid news

Medicaid

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Prior authorization updates for medications billed under the medical benefit

Updates for medication codes billed under the medical benefit
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Update to facility editing: HCPCS code G0463

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Drug fee schedule update

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Non-participating lab referrals

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Experience the difference: Your Provider Experience team

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Coming soon: The Anthem Blue Cross and Blue Shield Provider Learning Hub makes Availity learning easier

July 2022 Anthem Provider News - Nevada Digital Tools Jul 1, 2022

Enhancing claims attachment processes through digital applications

Add attachments through Claims Status Inquiry
July 2022 Anthem Provider News - Nevada Digital Tools Jul 1, 2022

Pharmacy information available online

July 2022 Anthem Provider News - Nevada Pharmacy Jul 1, 2022

Change notification to Medical Policies and Clinical UM Guidelines (MAC)

Material Adverse Change (MAC)
July 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jul 1, 2022

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

July 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jul 1, 2022

Reimbursement policy update: Place of Service (Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

New reimbursement policy: Transitional Care Management (Professional)

July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU (Professional)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections (Professional)

July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

New reimbursement policy: Modifier FB (Professional & Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Laboratory and Venipuncture Services (Professional & Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules (Professional)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Cancer Care Navigator

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

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

Non-participating lab referrals

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

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

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

Introducing Elevance Health - Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 21, 2022

Provider outreach to validate your provider data

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield (“Anthem”) and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Nevada Administrative Jun 1, 2022

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Products & Programs Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Updates to edits associated with implants

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Update: Use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Updated AIM Musculoskeletal Program effective September 1, 2022 site of care reviews (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Products & Programs Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Nevada Behavioral Health Jun 1, 2022

June 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Pharmacy Jun 1, 2022

Medical Policy and clinical UM guidelines notification update (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines (MAC)

Material adverse change (MAC)

June 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility) (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2022

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jun 1, 2022

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

Provider notice for COVID-19 testing

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

Medical drug benefit Clinical Criteria updates

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

Medical Policies and Clinical Utilization Management Guidelines update

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

Keep up with Medicare news

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

Provider notice for COVID-19 testing

Medicaid
June 2022 Anthem Provider News - Nevada Medicaid Jun 1, 2022

Keep up with Medicaid news

Medicaid
June 2022 Anthem Provider News - Nevada Medicaid Jun 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Coding tips for reporting administration of Spravato®

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Anthem announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Non-participating lab referrals

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

May is National High Blood Pressure Education month: we’ve got this!

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Evaluation and management services for COVID testing: professional (MAC)

Material adverse change (MAC)
May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

May 2022 Specialty pharmacy updates (MAC)

Material adverse change (MAC)

May 2022 Anthem Provider News - Nevada Pharmacy May 1, 2022

Member benefit lookup by procedure code

May 2022 Anthem Provider News - Nevada Digital Tools May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program Live Webinar

Everything you need to know about using CPT II Codes
May 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) May 1, 2022

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

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

HEDIS 2022: summary of changes from NCQA

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

New specialty pharmacy medical step therapy requirements

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

New Strategic Provider System implementation May 2022

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

Keep up with Medicare news

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

New Strategic Provider System implementation May 2022

Medicaid
May 2022 Anthem Provider News - Nevada Medicaid May 1, 2022

Quick tips to filing a complete and correct professional claim

Medicaid
May 2022 Anthem Provider News - Nevada Medicaid May 1, 2022

FDA warns about dental problems with buprenorphine medicines

Medicaid
May 2022 Anthem Provider News - Nevada Medicaid May 1, 2022

Screening for alcohol use disorder in high-prevalence demographics

Medicaid
May 2022 Anthem Provider News - Nevada Medicaid May 1, 2022
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