August 1, 2021
August 2021 Anthem Provider News and Important Updates - Colorado
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CommercialAugust 1, 2021
Telehealth visits can impact after-hospitalization follow-up care for mental illnessReductions in missed appointments are significant.
CommercialAugust 1, 2021
Clearing up-coding confusion for retinal eye exams (DRE)New language for two-year compliance (3072F).
CommercialAugust 1, 2021
Register now for our August CME webinars!CommercialAugust 1, 2021
Working with Anthem webinars – August 2021 schedule: Quick tips for adding, changing, terming a provider using the Provider Maintenance FormCommercialAugust 1, 2021
Schedule appointments online through AvailityCommercialAugust 1, 2021
Submitting prior authorizations is getting easierPolicy Updates
CommercialAugust 1, 2021
New Clinical Guideline: Home Parenteral Nutrition, effective November 1, 2021 (MAC)CommercialAugust 1, 2021
Reimbursement policy update: Claims requiring additional documentation (facility)CommercialAugust 1, 2021
Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS and XU (MAC)CommercialAugust 1, 2021
Reimbursement policy update: Virtual Visits – Professional and Facility (MAC)Products & Programs
CommercialAugust 1, 2021
Transition to AIM Specialty Health Imaging of the Heart Clinical Appropriateness Guideline for Computed Tomography to Detect Coronary Artery Calcification (MAC)CommercialAugust 1, 2021
Updates to AIM Musculoskeletal Program Effective November 1, 2021 – Site of Care Reviews (MAC)CommercialAugust 1, 2021
Some physician requests to AIM require the submission of documentation to support attestations for prior authorizationCommercialAugust 1, 2021
Important Update: Change in Email Submission of Service Requests for Federal Employee Program® (MAC)CommercialAugust 1, 2021
Specialty dose rounding program for certain oncology medicationsCommercialAugust 1, 2021
Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021CommercialAugust 1, 2021
Anthem Blue Cross and Blue Shield to update formulary lists for commercial health plan pharmacy benefitCommercialAugust 1, 2021
Immune globulin adjusted body weight dosting program beginning August 1, 2021CommercialAugust 1, 2021
Pharmacy information available on anthem.comCommercialAugust 1, 2021
Anthem prior authorization updates for specialty pharmacy are available (MAC)State & Federal
Medicare AdvantageAugust 1, 2021
Preventing claims denials: Shingles vaccineKnow best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.
Medicare AdvantageAugust 1, 2021
Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907Medicare AdvantageAugust 1, 2021
Infliximab Step Therapy – effective July 15, 2021To view this publication online:
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