Ohio
Provider Communications

November 2021 Anthem Provider News - Ohio

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Title Category

Against medical advice (AMA) discharge physician tracking tool

Digital Tools

Anthem offering Advance Medical Directives program for 2022

Medicare

Be Antibiotics Aware: Protect your patient

Administrative

Blue High Performance Network name changing for 2022

Administrative

Change in coverage for continuous glucose monitors for some fully insured groups

Administrative

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

Reimbursement Policies

Clinical criteria updates

Medicare

CME credits available in 2021 for a variety of clinical quality webinars - register now!

Administrative

Electronic data interchange process

Medicare

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
Digital Tools

Important update on Botox for Anthem members

Pharmacy

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

Administrative

Join Anthem in talking about racism and its impact on health, and earn continuing education credits!

Administrative

Keep up with Medicare News - November 2021

View these Medicare articles:
- Anthem expands specialty pharmacy prior authorization list
Medicare

New York City Medicare Advantage announcement

Medicare

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

Administrative

Specialty pharmacy updates are available - November 2021*

*Notice of Material Amendment/Change to Contract (MAC)
Pharmacy

Surprisingly easy ways to help patients quit smoking cigarettes

Administrative

Time to prepare for HEDIS medical record review

Administrative

Update regarding annual wellness visits for ACA-compliant health plans

Products & Programs

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medicare
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