Nevada
Provider Communications

Articles

Title Publication Category Date

Register now for our September CME webinars!

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

National Accounts 2022 pre-certification list

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach
September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

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

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

6 SIMPLE strategies to help increase medication adherence

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics
September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

Non-participating lab referrals

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

September 2021 updates for specialty pharmacy are available (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Nevada Pharmacy Sep 1, 2021

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

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers – replacing CAQH Enrollhub effective November 1, 2021
September 2021 Anthem Provider News - Nevada Digital Tools Sep 1, 2021

Reimbursement policy update: Sexually Transmitted Infections Testing (Professional) (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Nevada Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Drug Screen Testing (Professional) (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Nevada Reimbursement Policies Sep 1, 2021

New reimbursement policy update: Inpatient Facility Transfers (Facility) (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Nevada Reimbursement Policies Sep 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers

Medicare Advantage
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Prior authorization/precertification form notification

Medicare Advantage
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Utilization management authorization rule operations

Medicare Advantage
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

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 Medicaid news

View these Medicaid articles:
Iron infusion step therapy
Iron infusion prior authorization update
September 2021 Anthem Provider News - Nevada Medicaid Sep 1, 2021

Good news! Dignity Health will remain in-network

Good news! Dignity Health will remain in-network Administrative Aug 2, 2021

Information from Anthem for Care Providers about COVID-19 (Updated August 2, 2021)

We recently updated information about coverage and cost shares for telephonic-only care.
COVID-19 Information - Nevada Administrative Aug 2, 2021

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

August 2021 Anthem Provider News - Nevada Administrative Aug 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

3072F: new language about two-year compliance.
August 2021 Anthem Provider News - Nevada Administrative Aug 1, 2021

Register now for our August CME webinars!

August 2021 Anthem Provider News - Nevada Administrative Aug 1, 2021

Digital scheduling feature in the Availity portal: the Appointment Scheduler application

August 2021 Anthem Provider News - Nevada Digital Tools Aug 1, 2021

Submitting prior authorizations is getting easier

Anthem is transitioning to Availity Authorization
August 2021 Anthem Provider News - Nevada Digital Tools Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

August 2021 updates for specialty pharmacy are available

Material adverse change (MAC): prior authorization updates
August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

New clinical guideline: Home Parenteral Nutrition, effective November 1, 2021

Material adverse change (MAC)
August 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Aug 1, 2021

Transition to AIM Specialty Health Imaging of the heart clinical appropriateness guideline for Computed Tomography to Detect Coronary Artery Calcification

August 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Aug 1, 2021

Pre-service/prior authorization clinical review update: August 1, 2021

Material adverse change (MAC)
August 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Aug 1, 2021

Reimbursement policy update: claims requiring additional documentation (facility)

August 2021 Anthem Provider News - Nevada Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, modifiers 59 and XE, XP, XS, & XU

Material adverse change (MAC)
August 2021 Anthem Provider News - Nevada Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Virtual Visits (professional and facility)

Material adverse change (MAC)
August 2021 Anthem Provider News - Nevada Reimbursement Policies Aug 1, 2021

Change in email submission of service requests for Federal Employee Program® members

Material adverse change (MAC)
August 2021 Anthem Provider News - Nevada Federal Employee Plan (FEP) Aug 1, 2021

Preventing claims denials: shingles vaccine

Medicare Advantage
August 2021 Anthem Provider News - Nevada Medicare Aug 1, 2021

Keep up with Medicare news

Medicare Advantage
August 2021 Anthem Provider News - Nevada Medicare Aug 1, 2021

Prior authorization requirement changes effective September 1, 2021: UM AROW 1576

Medicaid
August 2021 Anthem Provider News - Nevada Medicaid Aug 1, 2021

Keep up with Medicaid news

Medicaid
August 2021 Anthem Provider News - Nevada Medicaid Aug 1, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!
Clinical Quality CME Webinar Series Continues - Nevada Administrative Jul 29, 2021

Continuing Medical Education (CME) webinar series

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for international normalized ratio

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Another mark of the pandemic: an increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors.
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

We want to help.
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Drug fee schedule update

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Important update to provider utilization management reimbursement penalties and corresponding entry in our provider manual

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Nevada Products & Programs Jul 1, 2021

REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviews

July 2021 Anthem Provider News - Nevada Products & Programs Jul 1, 2021

How to enroll in electronic fund transfer (EFT) for faster remittance

July 2021 Anthem Provider News - Nevada Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News - Nevada Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News - Nevada Digital Tools Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

New reimbursement policy: Non-Patient Laboratory Services (facility)

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Consultations (professional)

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2021

New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billing

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

Let’s Vaccinate

Medicare Advantage: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

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

March 2021 medical drug benefit clinical criteria updates

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

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

Keep up with Medicare news

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

New policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

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

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Coding spotlight: mental disorders in childhood

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Keeping up with routine vaccination during COVID-19

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

What matters most: improving the patient experience

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Resources to support your diverse patient panel

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Correction to a prior authorization update

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Complex case management program

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Important information about utilization management

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Medical policies and clinical utilization management guidelines update

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Members’ rights and responsibilities statement

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Anthem Blue Cross and Blue Shield Healthcare Solutions in Nevada provider spotlight

Medicaid: Doluce David Ezeanolue, MD
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021: UM AROW 1327

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Let’s Vaccinate

Medicaid: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021: UM AROW 1837

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Behavioral health areas of expertise profile survey

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Keep up with Medicaid news

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Essential information you need to submit EDI corrected claims

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

New digital provider enrollment tool added to Availity for Nevada

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Let’s Vaccinate!

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
June 2021 Anthem Provider News - Nevada Products & Programs Jun 1, 2021

Pharmacy information available on anthem.com

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

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Pharmacy Jun 1, 2021

Keep your contact information current

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

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

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

Regular check-ins with your clearinghouse could affect timely filing

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

Change notification to medical policies and clinical utilization management guidelines

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM advanced imaging clinical appropriateness guideline

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM musculoskeletal program clinical appropriateness guidelines

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2021

Reimbursement policy update: Emergency Department: Leveling of Evaluation and Management Services (facility)

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2021

Evaluation and management services correct coding (professional)

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2021

Anthem to enhance claim edits for outpatient facility claims

June 2021 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jun 1, 2021
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