Virginia
Provider Communications

June 2021 Anthem Provider News - Virginia

Download as PDF

Title Category

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Guideline Updates

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Guideline Updates

Updates for specialty pharmacy are available

Pharmacy

Update to provider utilization management reimbursement penalties for professional providers

Reimbursement Policies

Trauma: What you need to know

Medicaid

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

Medicare

Reimbursement policy: Reminder about inpatient readmissions

Medicare

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

Digital Tools

Provider education program survey: Your Voice Counts

Medicaid

Provider contract and fee schedule notifications via Availity

Digital Tools

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

Administrative

Pharmacy information available on anthem.com

Pharmacy

Members’ Rights and Responsibilities Statement

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

MCG care guidelines 25th edition

Medicaid

Let’s vaccinate

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

Keeping up with routine vaccinations during COVID-19

Medicaid

Keep your contact information current

Administrative

Keep up with Medicare news

Medicare

Keep up with Medicaid news

Medicaid

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

Digital Tools

Important information about utilization management

Medicaid

Essential information you need to submit EDI corrected claims

Digital Tools

Digital solution options with Availity

Digital Tools

DEXA bone scan criteria for the Federal Employee Program

Federal Employee Plan (FEP)

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

Digital Tools

Complex Case Management program

Medicaid

Aspire Health for members in need of palliative care

Medicaid

Anthem’s new strategic provider system will launch in July

Digital Tools

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy
Page 1 of 1