Nevada
Provider Communications

Articles Month: August 2021

Title Publication Category Date

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

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

August 2021 Anthem Provider News - Nevada Administrative 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

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

August 2021 Anthem Provider News - Nevada Pharmacy 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: claims requiring additional documentation (facility)

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

Register now for our August CME webinars!

August 2021 Anthem Provider News - Nevada Administrative 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

Preventing claims denials: shingles vaccine

Medicare Advantage
August 2021 Anthem Provider News - Nevada Medicare 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

Pharmacy information available on anthem.com

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

Keep up with Medicare news

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

Keep up with Medicaid news

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

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

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

Good news! Dignity Health will remain in-network

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

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

August 2021 Anthem Provider News - Nevada Digital Tools 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

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

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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