New Hampshire
Provider Communications

July 2021 New Hampshire Provider News

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Title Category

Blue Precision program to be retired at end of 2021

Administrative

New Strategic Provider System launch delayed

Administrative

Register now to learn strategies to help your practice improve clinical quality

Administrative

Another mark of the pandemic: an increase in childhood obesity

Administrative

Proper coding for in-home monitoring can make a measurable difference for INR

Administrative

Timely receipt of primary payer EOB helps avoid timely filing denials for secondary claims

Administrative

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

Digital Tools

Electronic claim response files

Digital Tools

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

Digital Tools

Medical policy updates are available on anthem.com

Medical Policy & Clinical Guidelines

Attention facilities: Sending admission, discharge and transfer data to Anthem and AMH Health LLC results in improved patient care management

Medicare

Let’s Vaccinate

Medicare

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

Medicare

Medical drug benefit clinical criteria update

Medicare

New Policy - Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (effective 10/1/21)

Medicare

Keep up with Medicare news

Medicare

Designated specialty pharmacy network updates

Pharmacy

Certain specialty medication precertification requests may require additional documentation

Pharmacy

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021

Pharmacy

Clinical criteria updates for specialty pharmacy

Pharmacy

Prior authorization updates for specialty pharmacy effective October 1, 2021

Pharmacy

Reminder: Updated AIM Rehabilitative Program site of service reviews effective August 1, 2021

Products & Programs

Reimbursement policy update: Consultations - professional

Reimbursement Policies

New reimbursement policy: Non-patient Laboratory Services - facility

Reimbursement Policies
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