Virginia
Provider Communications

June 2021 Anthem Provider News - Virginia

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Title Category

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

Administrative

Keep your contact information current

Administrative

Provider contract and fee schedule notifications via Availity

Digital Tools

Anthem’s new strategic provider system will launch in July

Digital Tools

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

Digital Tools

Essential information you need to submit EDI corrected claims

Digital Tools

Regular check-ins with your clearinghouse are key to identifying claim errors early

Digital Tools

Custom Learning Center or Availity Learning Center: Two great learning resources on one secure portal

Digital Tools

Digital solution options with Availity

Digital Tools

DEXA bone scan criteria for the Federal Employee Program

Federal Employee Plan (FEP)

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Guideline Updates

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Guideline Updates

Provider education program survey: Your Voice Counts

Medicaid

MCG care guidelines 25th edition

Medicaid

Keeping up with routine vaccinations during COVID-19

Medicaid

Aspire Health for members in need of palliative care

Medicaid

Trauma: What you need to know

Medicaid

Complex Case Management program

Medicaid

Important information about utilization management

Medicaid

Members’ Rights and Responsibilities Statement

Medicaid

Keep up with Medicaid news

Medicaid

Reimbursement policy: Reminder about inpatient readmissions

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

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

Medicare

Keep up with Medicare news

Medicare

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

Updates for specialty pharmacy are available

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Let’s vaccinate

Help increase your vaccination rates and close gaps in care with these tools and strategies.
Products & Programs

Update to provider utilization management reimbursement penalties for professional providers

Reimbursement Policies
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