Ohio
Provider Communications

January 2020 Anthem Provider News - Ohio

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Title Category

2020 FEP® Benefit information available online

Federal Employee Plan (FEP)

2020 Medicare risk adjustment provider trainings

Medicare

August 2019 Medical drug benefit Clinical Criteria updates

Medicare

Availity: Upcoming retirement planned for legacy Medical Attachment submission tool

Administrative

Electric Boat offers Medicare Advantage options

Medicare

Healthcare Quality Patient Assessment Form and Patient Assessment Form

Medicare

Help protect your patients by providing medical ID protection - best practices

Medicare

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair*

Medical Policy & Clinical Guidelines

Introducing ConcertoHealth

Medicare

Let Us Help You Accomplish Your 2020 “To-Do List” Early - EDI Migration

Administrative

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

Medicare

Medicare News -- January 2020

Medicare

Medicare preferred continuous glucose monitors

Medicare

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

Products & Programs

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- January 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements (MAC) may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

Ohio IAM Local 2848 Retiree VEBA moves to Medicare Advantage plan under Anthem

Medicare

Outpatient Facility Edit Implementation*

Reimbursement Policies

Postponed -- Review of professional claims with emergency room level 5 E/M codes

Medicare

Postponed: Review of professional claims with emergency room level 5 E/M codes

Administrative

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

Administrative

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

Medicare

September 2019 Medical drug benefit Clinical Criteria updates

Medicare

The New Year brings New ID Cards for many Anthem members

Administrative
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