Nevada
Provider Communications

Articles

Title Publication Category Date

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services - Professional

December 2018 Anthem Provider Newsletter - NV Reimbursement Policies Dec 1, 2018

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Anthem Provider News - Nevada Administrative Oct 1, 2021

Your influence matters: Recommending cancer screenings to your patients

March 2022 Anthem Provider News - Nevada Administrative Mar 1, 2022

Working with Anthem – 2018 Subject Specific Webinars – August schedule

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

Working with Anthem Webinars - May 2019 schedule: Availity Tools and Functionality Overview

Working with Anthem Webinars - May 2019 schedule: Availity tools and functionality overview - Nevada Administrative May 10, 2019

Working with Anthem Webinars - May 2019 schedule: Availity Tools and Functionality Overview

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

Working with Anthem Webinars - March 2019 schedule: new Availity Claim Payment Dispute Tool

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

Working with Anthem Webinars - June 2019 schedule: Anthem 101 / Provider Orientation

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

Working with Anthem Webinars - July 2019 schedule: Networks Overview

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

Working with Anthem Webinars - August 2019 schedule: Networks Overview -- rescheduled from July

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

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form

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

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form - Nevada Administrative Apr 5, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

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

Why do patients stop taking their prescribed medications and what can you do to help them?

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

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Nevada Medicare Jun 1, 2019

When and how to initiate Medicare Advantage reopenings

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

What matters most: improving the patient experience

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

What Matters Most: Improving the Patient Experience

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

What Matters Most online training course: improving patient experience

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

Western Pathology Consultants is no longer a Participating Provider

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

Well-child visits: Know the numbers

January 2022 Anthem Provider News - Nevada Administrative Jan 1, 2022

Welcome to the Custom Learning Center in Availity

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

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information - Nevada Administrative May 1, 2020

Webinar recording now available for network providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond.

Anthem hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information - Nevada Behavioral Health Jun 25, 2020

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

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

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

Verifying and updating your provider information

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

Verifying and updating your provider information

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

Verifying and updating your provider information

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

Vaginal birth after cesarean shared decision-making aid available

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

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

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

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Utilization management authorization rule operations

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

Using SBIRT to address opioid and substance use disorders

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

Use of Imaging Studies for Low Back Pain (LBP)

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

Use grouped CPT codes for AIM Specialty Health authorizations

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

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week

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

Urinary tract infection toolkits are on the way

Medicaid
March 2022 Anthem Provider News - Nevada Medicaid Mar 1, 2022

Updates to the Anthem Blue Cross and Blue Shield Healthcare Solutions provider manual for Nevada Medicaid

Medicaid
February 2022 Anthem Provider News - Nevada Medicaid Feb 1, 2022

Updates to the AIM Advanced Imaging Clinical Appropriateness Guidelines

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

Updates to edits associated with implants

June 2022 Anthem Provider News - Nevada Administrative 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

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)

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

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)

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

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 Cardiology Clinical Appropriateness Guidelines (MAC)

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

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 Sleep Disorder Management Clinical Appropriateness Guideline

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

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - NV Medical Policy & Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines May 1, 2020

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

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 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 for Specialty pharmacy effective August 1, 2021 (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

Updated Preventive Care Guidance regarding screening colonoscopies

March 2022 Anthem Provider News - Nevada Products & Programs Mar 1, 2022

Updated Prefix Reference List

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

Updated Prefix Reference List

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

Updated Prefix Reference List

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

Updated Escalation Contact List -- Nevada

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

Updated Escalation Contact List -- Nevada

March 2020 Anthem Provider News and Important Updates -- Nevada Administrative Mar 1, 2020

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News - COVID-19
and Medicare Advantage Provider News Archives.
COVID-19 Information - Nevada State & Federal Mar 25, 2020

Updated Coverage for HIV PrEP medications

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

Updated Coverage for Breast Cancer prevention medications

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

Updated AIM Rehabilitative program effective August 1, 2021 – Initial Evaluations and Site of Service reviews (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

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

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

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

Update: Temporarily retracting roll out of Availity Claim Payment dispute tool for Commercial claims - Nevada

Update: Temporarily retracting roll out of Availity Claim Payment dispute tool for Commercial claims - Nevada Administrative Apr 5, 2019

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

Update: Sepsis Coding

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

Update: outpatient prepay itemized bill review program (MAC)

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

Update: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines Mar 1, 2021

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and Setting determinations (MAC)

Material Adverse Change (MAC)
July 2020 Anthem Provider News and Important Updates -- Nevada Medical Policy & Clinical Guidelines Jul 1, 2020

UPDATE: new Rehabilitative Program remains temporarily delayed - Nevada

UPDATE: new Rehabilitative Program remains temporarily delayed - Nevada Administrative Jul 16, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019 - Nevada

UPDATE: new Rehabilitative Program now effective August 1, 2019 - Nevada Administrative Jul 3, 2019

Update: New process to submit claim payment disputes electronically

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

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

June 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Jun 1, 2020

UPDATE: New Go Live Date for Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures

July 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Jul 1, 2020

UPDATE: New AIM Rehabilitative Program effective April 1, 2020

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

UPDATE: Implementation of provider claim payment dispute process for Commercial lines of business has been delayed

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

UPDATE: For Commercial Providers regarding the AIM Sleep Therapy Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

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

Update: 2019 risk adjustment provider trainings

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

Update: New process to submit claim payment disputes electronically coming March 18, 2019

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

UPDATE--Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Products & Programs Apr 1, 2021

Update your provider demographics via the Provider Maintenance Form

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

Update your information

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

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

Update to Provider/Facility UM reimbursement penalties and corresponding update to Provider/Facility Manual (MAC)

Material Adverse Change (MAC)
July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

Update to facility editing: HCPCS code G0463

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

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Provider Newsletter - NV Administrative Oct 12, 2018

Update to Durable Medical Equipment - effective October 14, 2018

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