California
Provider Communications

May 2021 Anthem Blue Cross Provider News - California

Title	Category
Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness	Medicare
Update to AIM Specialty Health Oncologic Imaging Clinical appropriateness guideline	Medical Policy & Clinical Guidelines
The Industry Health Network	Administrative
Sign up to receive email from Anthem Blue Cross	Medi-Cal Managed Care
Send larger digital attachments through Availity We’ve expanded our file size to 100 megabytes.	Administrative
Resources to support diverse patients and communities	Administrative
Reimbursement policy update: Claims Requiring Additional Documentation (facility)	Reimbursement Policies
Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs	Administrative
Professional reimbursement policy update: Frequency Editing	Reimbursement Policies
Other health insurance verification	Medi-Cal Managed Care
Network leasing arrangements	Administrative
Modification to voluntary Cancer Care Quality Program, enhanced reimbursement to begin July 1, 2021	Products & Programs
Metabolic monitoring and diabetes screening measures for those on antipsychotics medications	Medi-Cal Managed Care
Member grievance process and forms must be made available upon request at provider office	Administrative
Member grievance and appeals process	Medi-Cal Managed Care
May is National High Blood Pressure education month A WISEWOMAN™ knows that improving blood pressure is good for the heart.	Administrative
Maximizing efficient, high quality COVID-19 screenings	Medicare
Helping our members	Medicare
Helping our members	Cal MediConnect
Facility reimbursement policy reminder: Readmission	Reimbursement Policies
Electronic solutions at your fingertips	Administrative
Educational presentations and materials for physicians and medical providers	Medi-Cal Managed Care
Easily update provider demographics with the online Provider Maintenance form	Administrative
Continuing medical education / continuing education unit opportunities	Medi-Cal Managed Care
Coding spotlight: Tips and best practices for compliance	Medi-Cal Managed Care
Appointment Scheduler application Digital online scheduling feature now available in the Availity portal.	Administrative
Anthem Blue Cross working with Optum to collect medical records for Medicare Risk Adjustment	Medicare
Anthem Blue Cross provider directory and provider data updates	Administrative
Access to care standards	Medi-Cal Managed Care
A helpful and complete guide to covered well-child visits	Administrative
2021 Affirmative Statement regarding utilization management decisions	Administrative
2020 Anthem Blue Cross population needs assessment	Medi-Cal Managed Care

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California
Provider Communications

May 2021 Anthem Blue Cross Provider News - California

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness

Update to AIM Specialty Health Oncologic Imaging Clinical appropriateness guideline

The Industry Health Network

Sign up to receive email from Anthem Blue Cross

Send larger digital attachments through Availity

Resources to support diverse patients and communities

Reimbursement policy update: Claims Requiring Additional Documentation (facility)

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

Professional reimbursement policy update: Frequency Editing

Other health insurance verification

Network leasing arrangements

Modification to voluntary Cancer Care Quality Program, enhanced reimbursement to begin July 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

Member grievance process and forms must be made available upon request at provider office

Member grievance and appeals process

May is National High Blood Pressure education month

Maximizing efficient, high quality COVID-19 screenings

Helping our members

Helping our members

Facility reimbursement policy reminder: Readmission

Electronic solutions at your fingertips

Educational presentations and materials for physicians and medical providers

Easily update provider demographics with the online Provider Maintenance form

Continuing medical education / continuing education unit opportunities

Coding spotlight: Tips and best practices for compliance

Appointment Scheduler application

Anthem Blue Cross working with Optum to collect medical records for Medicare Risk Adjustment

Anthem Blue Cross provider directory and provider data updates

Access to care standards

A helpful and complete guide to covered well-child visits

2021 Affirmative Statement regarding utilization management decisions

2020 Anthem Blue Cross population needs assessment

CaliforniaProvider Communications

May 2021 Anthem Blue Cross Provider News - California

California
Provider Communications