California
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Blue Cross Provider News - California Medicare Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Anthem Blue Cross Provider News - California Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Blue Cross Provider News - California Medicare Jul 1, 2022

Keep up with Medicare news – July 2022

July 2022 Anthem Blue Cross Provider News - California Medicare Jul 1, 2022

Updates to AIM Specialty Health Advanced Imaging clinical appropriateness guidelines

June 2022 Anthem Blue Cross Provider News - California Medicare Jun 1, 2022

Authorizations for post-acute care services for PPO Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Blue Cross Provider News - California Medicare Jun 1, 2022

Medical drug benefit Clinical Criteria updates

June 2022 Anthem Blue Cross Provider News - California Medicare Jun 1, 2022

Medical policies and clinical utilization Management guidelines update

June 2022 Anthem Blue Cross Provider News - California Medicare Jun 1, 2022

Provider notice for COVID-19 testing

June 2022 Anthem Blue Cross Provider News - California Medicare Jun 1, 2022

Keep up with Medicare news – June 2022

June 2022 Anthem Blue Cross Provider News - California Medicare Jun 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

New Strategic Provider System implementation May 2022

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

HEDIS 2022: Summary of changes from NCQA

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

Southern California Drug Benefit Fund moves to the Anthem Blue Cross Medicare Advantage plan

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

Keep up with Medicare news – May 2022

May 2022 Anthem Blue Cross Provider News - California Medicare May 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Reimbursement policy update: Inpatient Readmissions

Policy G-13001, effective 07/01/22

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Model of Care required training

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Clinical criteria updates

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Keep up with Medicare news – April 2022

April 2022 Anthem Blue Cross Provider News - California Medicare Apr 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Pharmacy updates

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Clinical criteria updates

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Teamsters Retiree Trust offers Medicare Advantage option

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

New Strategic Provider System will launch in April 2022

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Keep up with Medicare news – March 2022

March 2022 Anthem Blue Cross Provider News - California Medicare Mar 1, 2022

Get faster payments with EFT

February 2022 Anthem Blue Cross Provider News - California Medicare Feb 1, 2022

Keep up with Medicare news – February 2022

NYC Medicare Advantage Plus update.
February 2022 Anthem Blue Cross Provider News - California Medicare Feb 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Los Angeles City Employees’ Retirement System adds the medical and prescription drug plan

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Northern California Cement Masons, California moves to Medicare Advantage plan

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Professional claims – billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Keep up with Medicare news – January 2022

January 2022 Anthem Blue Cross Provider News - California Medicare Jan 1, 2022

Policy update: Drug screen testing

Policy update: Drug screen testing, effective March 1, 2022

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced imaging clinical appropriateness guidelines

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

2022 Medicare Advantage services area and benefit updates

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

Keep up with Medicare news – December 2021

December 2021 Anthem Blue Cross Provider News - California Medicare Dec 1, 2021

New York City Medicare Advantage announcement

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Anthem Blue Cross offering Advance Medical Directives program for 2022

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Anthem Blue Cross Medicare Advantage FFS HMO network guidance

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

Keep up with Medicare news – November 2021

November 2021 Anthem Blue Cross Provider News - California Medicare Nov 1, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

Information about 2021 special needs plans

October 2021 Anthem Blue Cross Provider News - California Medicare Oct 1, 2021

New policy: Sexually transmitted infections testing, effective January 2022 - professional

October 2021 Anthem Blue Cross Provider News - California Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our remote EMR access service

October 2021 Anthem Blue Cross Provider News - California Medicare Oct 1, 2021

New medical step therapy requirements

October 2021 Anthem Blue Cross Provider News - California Medicare Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Blue Cross Provider News - California Medicare Oct 1, 2021

Keep up with Medicare news – October 2021

October 2021 Anthem Blue Cross Provider News - California Medicare Oct 1, 2021

Reimbursement policy update: DRG inpatient facility transfers

September 2021 Anthem Blue Cross Provider News - California Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Anthem Blue Cross Provider News - California Medicare Sep 1, 2021

Prior authorization form notification

September 2021 Anthem Blue Cross Provider News - California Medicare Sep 1, 2021

Keep up with Medicare news - September 2021

Medicare Advantage clinical criteria updates notification May 2021
September 2021 Anthem Blue Cross Provider News - California Medicare Sep 1, 2021

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.

August 2021 Anthem Blue Cross Provider News - California Medicare Aug 1, 2021

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907

August 2021 Anthem Blue Cross Provider News - California Medicare Aug 1, 2021

Infliximab Step Therapy – effective July 15, 2021

August 2021 Anthem Blue Cross Provider News - California Medicare Aug 1, 2021

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

March 2021 Medical drug benefit clinical criteria updates

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Policy reminder: Inpatient readmissions

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

Updates to the AIM advanced imaging clinical appropriateness guidelines

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

Anthem Blue Cross working with Optum to collect medical records for risk adjustment

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

Medical drug benefit clinical criteria updates

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

Medical policies and clinical utilization management guidelines update

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

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

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

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

May 2021 Anthem Blue Cross Provider News - California Medicare May 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness

May 2021 Anthem Blue Cross Provider News - California Medicare May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Blue Cross Provider News - California Medicare May 1, 2021

Helping our members

May 2021 Anthem Blue Cross Provider News - California Medicare May 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

In-office assessment

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

Clinical Criteria updates notification November 2020

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

Clinical Criteria updates notification December 2020

April 2021 Anthem Blue Cross Provider News - California Medicare Apr 1, 2021

New provider directory indicator for telehealth services

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

DME checklist of information needed from providers

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

MCG Care Guidelines 24th edition customization

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

Access to more claim denial information is now self-service

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

PN for UM AROW Item 1330

February 2021 Anthem Blue Cross Provider News - California Medicare Feb 1, 2021

IBEW Local 234, CA moves to Medicare Advantage plan under Anthem Blue Cross

February 2021 Anthem Blue Cross Provider News - California Medicare Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Blue Cross Provider News - California Medicare Feb 1, 2021

CORRECTION: Transition to AIM Small Joint guidelines is effective February 4, 2021

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Policy update – emergency department: Leveling of Evaluation and Management services

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

SNF admission reporting requirements for D-SNP plans

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Policy update – Nurse Practitioner and Physician Assistant Services, Professional

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Radiation

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Anthem Blue Cross Provider News - California Medicare Jan 1, 2021
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