Nevada
Provider Communications

Articles Month: February 2019

Title Publication Category Date

Anthem to enhance claim edits for outpatient facility claims

February 2019 Anthem Important Updates - NV Administrative Feb 1, 2019

Updated Escalation Contact List

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

Provider and Facility identified Overpayments (aka “voluntary” or “unsolicited”)

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

Member Satisfaction with Behavioral Health Outpatient Services

February 2019 Anthem Provider Newsletter - NV Behavioral Health Feb 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

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

AIM Specialty Health Clinical Guidelines update - Musculoskeletal Program

February 2019 Anthem Important Updates - NV Medical Policy & Clinical Guidelines Feb 1, 2019

Medical Policy and Clinical UM Guidelines change notification letter

February 2019 Anthem Important Updates - NV Medical Policy & Clinical Guidelines 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

Anthem expands specialty pharmacy medical step therapy drug list

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Pharmacy information available on anthem.com

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

Body Mass Index (BMI) (Facility Reimbursement Policy - Update)

February 2019 Anthem Important Updates - NV Reimbursement Policies Feb 1, 2019

Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters

February 2019 Anthem Important Updates - NV Reimbursement Policies Feb 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 (Professional)

February 2019 Anthem Provider Newsletter - NV Reimbursement Policies Feb 1, 2019

Significant Edits (Professional)

February 2019 Anthem Provider Newsletter - NV Reimbursement Policies Feb 1, 2019

Reminder: Review ICD-10-CM Coding Guidelines (Professional)

February 2019 Anthem Provider Newsletter - NV Reimbursement Policies Feb 1, 2019

Reimbursement Policies are available online

February 2019 Anthem Provider Newsletter - NV Reimbursement Policies Feb 1, 2019

Clear Claim Connection: our web-based claim edit tool

February 2019 Anthem Provider Newsletter - NV Reimbursement Policies Feb 1, 2019
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