Wisconsin
Provider Communications

March 2020 Anthem Provider News - Wisconsin

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Title Category

Anthem Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2020

Administrative

Antibiotic dispensing guidelines

Medicaid

Coding spotlight: HIV and AIDS

Medicaid

Coding tip for psychological and neuropsychological testing

Medicaid

Complex discharge planning

Medicare

Important coding reminder for walk-in retail health clinics

Administrative

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020*

Products & Programs

Medicare News - March 2020

Medicare

Modifier use reminders

Administrative

National Drug Code requirement on outpatient claims*

Pharmacy

Non-preferred products and corresponding preferred alternatives

Medicare

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - March 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

Outpatient Rehabilitation Program transition: new prior authorization requirements

Medicare

Patient360 enhancement for medical providers

Administrative

Personal Home Helper benefit

Medicare

Pharmacy information available at anthem.com

Pharmacy

Provider News site enhancements

Administrative

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

Medicare

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

Medicaid
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