Virginia
Provider Communications

April 2019 Anthem Provider Newsletter - Virginia

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Title Category

CORRECTION: Alpha prefix is “VQW” for Anthem’s Exclusive Provider Organization benefit plans

Administrative

Billing for private room stays

Administrative

How you can help patients adhere to their prescribed treatment plans and medications

Administrative

Anthem’s Commercial Risk Adjustment reporting update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

Administrative

Register now for the Anthem webinar on April 10

Administrative

Receive email notifications via our Network eUPDATE

Administrative

Clinical guideline effective April 1, 2019

Coverage and Clinical Guidelines

Coverage Guidelines effective July 1, 2019

Coverage and Clinical Guidelines

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

Guideline Updates

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

Guideline Updates

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines

Guideline Updates

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

Guideline Updates

Clinical practice and preventive health guidelines available on the Web

Guideline Updates

Urgent: Update to behavioral health claims processing

Medicaid

Coverage Guidelines and Clinical Utilization Management Guidelines update

Medicaid

Latest updates to Electronic Data Interchange Gateway migration

Medicaid

Practitioners’ rights during credentialing process

Medicaid

Anthem HealthKeepers Plus provider surveys

Medicaid

Clinical Criteria updates

Medicaid

Help prevent preeclampsia with prenatal aspirin

Medicaid

Reminder: Precertification requirements

Medicaid

Anthem HealthKeepers Plus emergency transportation claims update

Medicaid

Wound care treatment request update

Medicaid

Correction: Cervical length measurement by transvaginal ultrasound

Medicaid

Quality of Care and Critical Incidents training

Medicaid

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

Medicare

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

Medicare

Keep up with Medicare news

Medicare

Anthem Blue Cross and Blue Shield expands specialty pharmacy prior authorization list

Pharmacy

Pharmacy information available on anthem.com

Pharmacy
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