Colorado
Provider Communications

July 2022 Anthem Provider News and Important Updates - Colorado

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Title Category

Introducing Elevance Health: Focusing on whole health and its most powerful drivers

Administrative

CAA: Keep your provider directory information current

Administrative

Updates to edits associated with implants

Administrative

Update to facility editing: HCPCS code G0463

Administrative

Help patients heal from the comfort of home with Hospital in Home care

Administrative

Non-participating lab referrals

Administrative

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

Administrative

Clearing up coding confusion for diabetic retinal screenings

Administrative

Working with Anthem webinars – July 2022 schedule: Anthem Blue Cross and Blue Shield networks overview

Administrative

Enhancing claims attachment processes through digital applications: Add attachments through Claims Status Inquiry

Digital Tools

Coming soon: The Anthem Blue Cross and Blue Shield Provider Learning Hub makes Availity learning easier

Digital Tools

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

Medical Policy & Clinical Guidelines

Medical Policy and Clinical UM Guidelines notification (MAC)

Material Adverse Change (MAC)

Medical Policy & Clinical Guidelines

Retraction for reimbursement policy – Sexually Transmitted Infections - professional

Reimbursement Policies

Reimbursement policy update: Laboratory and Venipuncture Services – professional and facility (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

New Reimbursement policy: Modifier FB – professional and facility (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

New reimbursement policy: Transitional Care Management - professional

Reimbursement Policies

Reimbursement policy update: Place of Service – facility (MAC)

Material Adverse Change (MAC)

Reimbursement Policies

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU – professional (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Reimbursement policy update: Modifiers Rules - professional (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Pharmacy information available online

Pharmacy

Drug fee schedule update

Pharmacy

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

Medicare

Cancer Care Navigator

Medicare

Keep up with Medicare news – July 2022

Medicare
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