Colorado
Provider Communications

July 2019 Anthem Provider News and Important Updates - Colorado

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Title Category

Clinical criteria updates for specialty pharmacy

Pharmacy

Clinical Criteria coding updates for specialty pharmacy are available

Pharmacy

Update to Provider/Facility UM reimbursement penalties and corresponding update to Provider/Facility Manual (MAC)

Material Adverse Change (MAC)
Administrative

Changes coming this month with Anthem’s Provider Newsletter and Important Updates

Administrative

Working with Anthem Webinars - July 2019 schedule: Networks Overview

Administrative

Drug fee schedule update

Administrative

Make the move to the Availity EDI Gateway today

Administrative

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression - What’s in it for you and your patients?

Administrative

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

Administrative

AIM Specialty Health Clinical Guidelines update - Advanced Imaging (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Modifier 79 reminder: Professional

Reimbursement Policies

Modifier 63 reminder: Professional

Reimbursement Policies

ICD-10-CM Coding Guidelines and Laterality: Professional

Reimbursement Policies

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

Federal Employee Plan (FEP)

Outpatient Rehabilitation Program transitioning to AIM

Medicare

Sepsis diagnosis coding and billing reminder

Medicare

Home health billing guidelines for contracted providers

Medicare

Keep up with Medicare news

Medicare
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