California
Provider Communications

February 2019 Anthem Blue Cross Provider Newsletter - California

Title	Category
Pharmacy information available on anthem.com/ca	Pharmacy
Member satisfaction with behavioral health outpatient services	Behavioral Health
Reminder and update: New prior authorization for Physical Therapy, Occupational Therapy and Speech Therapy services begins March 25, 2019	Administrative
Anthem Blue Cross to enhance claim edits for outpatient facility claims	Administrative
Reminder review of ICD-10 CM coding guidelines - professional	Administrative
Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations	Administrative
Contracted provider claim escalation process	Administrative
Provider Education seminars, webinars, workshops and more!	Administrative
Anthem Blue Cross provider directory and provider data updates	Administrative
Easily update provider demographics with the online Provider Maintenance Form	Administrative
Sign-up now for our Network eUPDATE today – it’s free!	Administrative
Network leasing arrangements	Administrative
Clinical practice and preventive health guidelines available online	Policy Updates
Clinical UM guideline updates	Medical Policy & Clinical Guidelines
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 - professional	Reimbursement Policies
HEDIS 2019 Federal Employee Program medical record request requirements	Federal Employee Plan (FEP)
Los Angeles Unified School District (LAUSD) Offers Medicare Advantage Option	Medicare
Reminder: Anthem follows original Medicare policies	Medicare
Use grouped CPT codes for AIM Specialty Health authorizations	Medicare
Anthem eye refraction and routine eye exam billing information	Medicare
New specialty Medicare Part B device preferred product program	Medicare
Keep up with Medicare news	Medicare
Coding spotlight: Diabetes	Medi-Cal Managed Care
New specialty pharmacy medical step therapy requirements	Medi-Cal Managed Care
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit	Medi-Cal Managed Care

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California
Provider Communications

February 2019 Anthem Blue Cross Provider Newsletter - California

Pharmacy information available on anthem.com/ca

Member satisfaction with behavioral health outpatient services

Reminder and update: New prior authorization for Physical Therapy, Occupational Therapy and Speech Therapy services begins March 25, 2019

Anthem Blue Cross to enhance claim edits for outpatient facility claims

Reminder review of ICD-10 CM coding guidelines - professional

Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations

Contracted provider claim escalation process

Provider Education seminars, webinars, workshops and more!

Anthem Blue Cross provider directory and provider data updates

Easily update provider demographics with the online Provider Maintenance Form

Sign-up now for our Network eUPDATE today – it’s free!

Network leasing arrangements

Clinical practice and preventive health guidelines available online

Clinical UM guideline updates

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 - professional

HEDIS 2019 Federal Employee Program medical record request requirements

Los Angeles Unified School District (LAUSD) Offers Medicare Advantage Option

Reminder: Anthem follows original Medicare policies

Use grouped CPT codes for AIM Specialty Health authorizations

Anthem eye refraction and routine eye exam billing information

New specialty Medicare Part B device preferred product program

Keep up with Medicare news

Coding spotlight: Diabetes

New specialty pharmacy medical step therapy requirements

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

CaliforniaProvider Communications

February 2019 Anthem Blue Cross Provider Newsletter - California

California
Provider Communications