California
Provider Communications

February 2019 Anthem Blue Cross Provider Newsletter - California

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Title Category

Anthem Blue Cross provider directory and provider data updates

Administrative

Anthem Blue Cross to enhance claim edits for outpatient facility claims

Administrative

Anthem eye refraction and routine eye exam billing information

Medicare

Clinical practice and preventive health guidelines available online

Policy Updates

Clinical UM guideline updates

Medical Policy & Clinical Guidelines

Coding spotlight: Diabetes

Medi-Cal Managed Care

Contracted provider claim escalation process

Administrative

Easily update provider demographics with the online Provider Maintenance Form

Administrative

HEDIS 2019 Federal Employee Program medical record request requirements

Federal Employee Plan (FEP)

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

Medi-Cal Managed Care

Keep up with Medicare news

Medicare

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

Medicare

Member satisfaction with behavioral health outpatient services

Behavioral Health

Network leasing arrangements

Administrative

New specialty Medicare Part B device preferred product program

Medicare

New specialty pharmacy medical step therapy requirements

Medi-Cal Managed Care

Pharmacy information available on anthem.com/ca

Pharmacy

Provider Education seminars, webinars, workshops and more!

Administrative

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

Administrative

Reminder review of ICD-10 CM coding guidelines - professional

Administrative

Reminder: Anthem follows original Medicare policies

Medicare

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

Administrative

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

Use grouped CPT codes for AIM Specialty Health authorizations

Medicare

Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations

Administrative
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