California
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Anthem Blue Cross to enhance claim edits for outpatient facility claims

June 2021 Anthem Blue Cross Provider News - California Reimbursement Policies Jun 1, 2021

Update to AIM Specialty Health Oncologic Imaging Clinical appropriateness guideline

May 2021 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines May 1, 2021

Facility reimbursement policy reminder: Readmission

May 2021 Anthem Blue Cross Provider News - California Reimbursement Policies May 1, 2021

Reimbursement policy update: Claims Requiring Additional Documentation (facility)

May 2021 Anthem Blue Cross Provider News - California Reimbursement Policies May 1, 2021

Professional reimbursement policy update: Frequency Editing

May 2021 Anthem Blue Cross Provider News - California Reimbursement Policies May 1, 2021

Important coding update for the AIM sleep program

April 2021 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Apr 1, 2021

Clinical guidelines CG-Lab-11

April 2021 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

April 2021 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Apr 1, 2021

Update: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Mar 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

March 2021 Anthem Blue Cross Provider News - California Reimbursement Policies Mar 1, 2021

Changes to reimbursement for ambulatory surgery centers

December 2020 Anthem Blue Cross Provider News - California Reimbursement Policies Dec 1, 2020

Reminder: Professional reimbursement policies updates, effective January 1, 2021

December 2020 Anthem Blue Cross Provider News - California Reimbursement Policies Dec 1, 2020

Professional reimbursement policy update: Bundled services and supplies

December 2020 Anthem Blue Cross Provider News - California Reimbursement Policies Dec 1, 2020

Anthem Blue Cross expands hospice policy

December 2020 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com/ca

December 2020 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Dec 1, 2020

Coordination of care

December 2020 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Dec 1, 2020

Case management program

December 2020 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Dec 1, 2020

Reimbursement policy update: Claims requiring additional documentation policy (facility)

October 2020 Anthem Blue Cross Provider News - California Reimbursement Policies Oct 1, 2020

Medical record standards

August 2020 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Aug 1, 2020

Facility Reimbursement Policy Update – claims requiring additional documentation

August 2020 Anthem Blue Cross Provider News - California Reimbursement Policies Aug 1, 2020

New MCG 24th Edition Guidelines

July 2020 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Jul 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

June 2020 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Jun 1, 2020

Reminder about System Update

May 2020 Anthem Blue Cross Provider News - California Reimbursement Policies May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Approrpriateness Guidelines

May 2020 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines May 1, 2020

Important coding reminder for Walk-in-Retail health clinics

March 2020 Anthem Blue Cross Provider News - California Reimbursement Policies Mar 1, 2020

Modifier use reminders

March 2020 Anthem Blue Cross Provider News - California Reimbursement Policies Mar 1, 2020

New Professional Reimbursement Policies - Durable Medical Equipment: Rent to purchase and Durable Medical Equipment Modifiers

December 2019 Anthem Blue Cross Provider News - California Reimbursement Policies Dec 1, 2019

System updates for 2020 - Professional

December 2019 Anthem Blue Cross Provider News - California Reimbursement Policies Dec 1, 2019

An overview of our medical necessity review process

December 2019 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Dec 1, 2019

Case Management Program

December 2019 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Dec 1, 2019

Clinical Practice and Preventive Health Guidelines available on anthem.com/ca

December 2019 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Dec 1, 2019

Coordination of Care

December 2019 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Dec 1, 2019

Appropriate 911/Emergency care procedures

December 2019 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Dec 1, 2019

New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019

September 2019 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines Sep 1, 2019

UPDATE: new Rehabilitative Program remains temporarily delayed

July UPDATE: new Rehabilitative Program remains temporarily delayed Medical Policy & Clinical Guidelines Jul 16, 2019

UPDATE: New Rehabilitative Program now effective August 1, 2019

July UPDATE: New Rehabilitative Program Now Effective August 1, 2019 – California Medical Policy & Clinical Guidelines Jul 3, 2019

Clinical practice and preventive health guidelines available online

June 2019 Anthem Blue Cross Provider Newsletter - California Policy Updates Jun 1, 2019

Update: Sepsis coding

June 2019 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical practice and preventive health guidelines available online

May 2019 Anthem Blue Cross Provider Newsletter - California Policy Updates May 1, 2019

Clinical practice and preventive health guidelines available online

April 2019 Anthem Blue Cross Provider Newsletter - California Policy Updates Apr 1, 2019

Update: New prior authorization for Physical, Occupational and Speech Therapy Services will begin May 1, 2019

April 2019 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Apr 1, 2019

Treatment guidelines for Medical Treatment Utilization Schedule update, effective April 18, 2019

April 2019 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Apr 1, 2019

Clinical practice and preventive health guidelines available online

March 2019 Anthem Blue Cross Provider Newsletter - California Policy Updates Mar 1, 2019

Clinical practice and preventive health guidelines available online

February 2019 Anthem Blue Cross Provider Newsletter - California Policy Updates Feb 1, 2019

Clinical UM guideline updates

February 2019 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Feb 1, 2019

Clinical practice and preventive health guidelines available online

January 2019 Anthem Blue Cross Provider Newsletter - California Policy Updates Jan 1, 2019

HEDIS 2019 starts early February

January 2019 Anthem Blue Cross Provider Newsletter - California Policy Updates Jan 1, 2019

Clinical practice and preventive health guidelines available online

December 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Dec 1, 2018

Members’ rights and responsibilities

December 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Dec 1, 2018

Vaginal birth after cesarean certified shared decision making aid available on the web

December 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Dec 1, 2018

An overview of our medical necessity review process

December 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Dec 1, 2018

HEDIS 2018: Commercial results are in

December 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Dec 1, 2018

Restructure of AIM advanced imaging clinical appropriateness guidelines

December 2018 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Dec 1, 2018

Update to AIM clinical appropriateness guidelines

December 2018 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Dec 1, 2018

Important reminder: Professional reimbursement policy update Scope of License

December 2018 Anthem Blue Cross Provider Newsletter - California Reimbursement Policies Dec 1, 2018

Anthem works to help ensure appropriate billing of E&M services

December 2018 Anthem Blue Cross Provider Newsletter - California Reimbursement Policies Dec 1, 2018

Clinical practice and preventive health guidelines available online

October 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Oct 1, 2018

Delay in launch of prior authorization for Lutathera until November 1, 2018

August 2018 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Aug 16, 2018

Anthem Blue Cross’ new Musculoskeletal Program to implement August 15, 2018

August 2018 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Aug 16, 2018

Clinical practice and preventive health guidelines available online

August 2018 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Aug 16, 2018

Vaginal birth after cesarean (VBAC) aid available on the web

August 2018 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Aug 16, 2018

Additional support available for members with rare conditions

August 2018 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Aug 16, 2018
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