Ohio
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Ohio Medicare Jun 1, 2019

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Utilization management authorization rule operations

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Oct 1, 2019

Upgraded data management system launches August 2022

August 2022 Anthem Provider News - Ohio Medicare Aug 1, 2022

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiac clinical appropriateness guidelines

January 2021 Anthem Provider News - Ohio Medicare Jan 1, 2021

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Ohio Medicare Jun 1, 2020

Updates to AIM clinical appropriateness guidelines for Advanced Imaging

January 2021 Anthem Provider News - Ohio Medicare Jan 1, 2021

Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Medicare Advantage Provider News Archives.
COVID-19 Information - Ohio Medicare Mar 25, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Provider News - Ohio Medicare Sep 1, 2020

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News - Ohio Medicare Oct 1, 2019

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Ohio Medicare Jul 1, 2022

Update regarding evaluation and management with modifier 25

April 2019 Anthem Provider Newsletter - Ohio Medicare Apr 1, 2019

Trusted Senior Care Advantage - a delegated provider for southeastern Ohio Medicare Advantage membership

April 2020 Anthem Provider News - Ohio Medicare Apr 1, 2020

The impact of listening

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Submitting prior authorizations is getting easier

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

State Auto Insurance Companies to offer Medicare Advantage option

December 2019 Anthem Provider News - Ohio Medicare Dec 1, 2019

Special needs plans - provider training required

August 2019 Anthem Provider News - Ohio Medicare Aug 1, 2019

Somatus is your resource for kidney care management

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Ohio Medicare Oct 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Provider News - Ohio Medicare Jul 1, 2019

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Apr 1, 2022

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Ohio Medicare Jun 1, 2019

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Anthem Provider News - Ohio Medicare Jun 1, 2021

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Ohio Medicare Mar 1, 2020

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

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

Reminder to Medicare Advantage providers

December 2019 Anthem Provider News - Ohio Medicare Dec 1, 2019

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News - Ohio Medicare May 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons

February 2020 Anthem Provider News - Ohio Medicare Feb 1, 2020

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Reimbursement policy update: Drug screen testing

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Reimbursement policy reminder: Inpatient readmissions

June 2021 Anthem Provider News - Ohio Medicare Jun 1, 2021

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

January 2022 Anthem Provider News - Ohio Medicare Jan 1, 2022

Provider transparency update

October 2020 Anthem Provider News - Ohio Medicare Oct 1, 2020

Provider training series

December 2019 Anthem Provider News - Ohio Medicare Dec 1, 2019

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Provider News - Ohio Medicare Mar 1, 2022

Provider Chat: A fast, easy way to get your questions answered

November 2020 Anthem Provider News - Ohio Medicare Nov 1, 2020

Professional claims: Billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Provider News - Ohio Medicare Jan 1, 2022

Process change for Federal Employee Program third-party correspondence requests

June 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jun 1, 2022

Prior authorization requirements for the below codes effective January 1, 2021

October 2020 Anthem Provider News - Ohio Medicare Oct 1, 2020

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Ohio Medicare Oct 1, 2019

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

July 2021 Anthem Provider News - Ohio Medicare Jul 1, 2021

Prior authorization form notification

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News - Ohio Medicare Jul 1, 2020

Preventing claims denials: Shingles vaccine

August 2021 Anthem Provider News - Ohio Medicare Aug 1, 2021

Pre-certification information for the Federal Employee Program*

October 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Oct 1, 2019

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

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Policy Update: Emergency Department: Leveling of Evaluation and Management Services

December 2020 Anthem Provider News - Ohio Medicare Dec 1, 2020

PN for UM AROW Item 1330

February 2021 Anthem Provider News - Ohio Medicare Feb 1, 2021

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Pilkington North America, Inc. offers Medicare Advantage option

December 2020 Anthem Provider News - Ohio Medicare Dec 1, 2020

Pharmacy: Medication adherence

March 2022 Anthem Provider News - Ohio Medicare Mar 1, 2022

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Personal Home Helper benefit

March 2020 Anthem Provider News - Ohio Medicare Mar 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Ohio Medicare Oct 1, 2020

Paradigm Senior Care Advantage a delegated provider for Akron MA membership

January 2019 Anthem Ohio Provider Newsletter Medicare Jan 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News - Ohio Medicare Jul 1, 2019

Outpatient Rehabilitation Program transition: new prior authorization requirements

March 2020 Anthem Provider News - Ohio Medicare Mar 1, 2020

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Provider News - Ohio Medicare Apr 1, 2021

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

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Anthem Provider News - Ohio Medicare Mar 1, 2020

New! Concierge Cancer Care program for Ohio Federal Employee Program members

July 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jul 1, 2022

New York City Medicare Advantage announcement

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

New specialty pharmacy medical step therapy requirements-March 2022 update

May 2022 Anthem Provider News - Ohio Medicare May 1, 2022

New specialty Medicare Part B device preferred product program

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

New service types added to Availity

August 2019 Anthem Provider News - Ohio Medicare Aug 1, 2019

New reimbursement policy: Sexually transmitted infections testing (Professional)

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

New reimbursement policy: Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News - Ohio Medicare Jul 1, 2021

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News - Ohio Medicare Aug 1, 2019

New provider directory indicator for telehealth services

March 2021 Anthem Provider News - Ohio Medicare Mar 1, 2021

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

New medical step therapy requirements

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News - Ohio Medicare Feb 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News - Ohio Medicare May 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Ohio Medicare Jun 1, 2020

Model of Care required training

April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Members with COPD eligible for health improvement program

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News - Ohio Medicare Oct 1, 2019

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Medicare News -- September 2019

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Medicare News -- October 2019

October 2019 Anthem Provider News - Ohio Medicare Oct 1, 2019

Medicare News -- November 2019

November 2019 Anthem Provider News - Ohio Medicare Nov 1, 2019

Medicare News -- January 2020

January 2020 Anthem Provider News - Ohio Medicare Jan 1, 2020

Medicare News -- December 2019

December 2019 Anthem Provider News - Ohio Medicare Dec 1, 2019

Medicare News -- August 2019

August 2019 Anthem Provider News - Ohio Medicare Aug 1, 2019

Medicare News - October 2020

View these Medicare articles:
- Evaluation and management services correct coding
- Medical policies and clinical utilization management guidelines update
- Prior authorization requirements for the below codes effective January 2021
October 2020 Anthem Provider News - Ohio Medicare Oct 1, 2020

Medicare News - November 2020

View these Medicare articles:
- AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020
- Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines
- AIM Musculoskeletal program expansion postponed
November 2020 Anthem Provider News - Ohio Medicare Nov 1, 2020

Medicare News - May 2020

View these Medicare articles:
- Prior Authorization requirements
- New behavioral health Medicare Advantage individual and Group Retiree Solutions provider fax
May 2020 Anthem Provider News - Ohio Medicare May 1, 2020

Medicare News - March 2021

View these Medicare articles:
- MCG Care Guidelines 24th edition customization
- DME checklist of information needed from providers
March 2021 Anthem Provider News - Ohio Medicare Mar 1, 2021
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