Ohio
Provider Communications

January 2021 Anthem Provider News - Ohio

Download as PDF

Title Category

2020 Medicare risk adjustment provider trainings

Medicare

2021 FEP® benefit information available online

Federal Employee Plan (FEP)

Anthem implements pilot program for in-network skilled nursing facilities (SNF)

Medical Policy & Clinical Guidelines

Availity attachment tools for Anthem and affiliate payers - Live webinars

Administrative

Evaluation and management changes 2021

Administrative

IngenioRx introduces new pharmacy network in 2021

Pharmacy

It is almost CAHPS survey time!

Administrative

Keep up with Medicare news - January 2021

View these Medicare articles:
- Medicare Advantage Group Retiree Quick Reference Guide and FAQ
- Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ
- SNF admission reporting requirements for D-SNP plans
- Policy Update: Nurse Practitioner and Physician Assistant Services – Professional
- Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology
Medicare

MCG Care Guidelines 24th Edition Customization*

Medical Policy & Clinical Guidelines

Medical drug benefit clinical criteria updates

Medicare

Medical Policy and Clinical Guideline Updates - January 2021*

Medical Policy & Clinical Guidelines

New Blue HPN® plans go live January 1, 2021

Administrative

New features added to Interactive Care Reviewer

Administrative

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - January 2021

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

Outpatient system updates for 2021 - Facility

Administrative

Prior authorization updates for specialty pharmacy are available - January 2021*

Pharmacy

Procedure searches in Find Care: New sort option

Administrative

Professional system updates for 2021

Administrative

Reimbursement policy update: Frequency editing - Professional*

Reimbursement Policies

Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional*

Reimbursement Policies

Reimbursement policy update: Modifier Rules - Professional*

Reimbursement Policies

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional*

Reimbursement Policies

Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional*

Reimbursement Policies

Self-service, digital transactions are fast and easy

Administrative

Updates to AIM clinical appropriateness guidelines for Advanced Imaging

Medicare

Updates to AIM Specialty Health Cardiac clinical appropriateness guidelines

Medicare
Page 1 of 1