Colorado
Provider Communications

March 2020 Anthem Provider News and Important Updates -- Colorado

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Title Category

Working with Anthem Webinars -- March 2020 schedule: Availity tools and functionality overview

Administrative

Provider News site enhancements

Administrative

Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2020

Administrative

Modifier use reminders

Administrative

Updated Escalation Contact List -- Colorado

Administrative

Updated Prefix Reference List -- Colorado

Administrative

Important coding reminder for Walk-In Retail Health Clinics

Administrative

Patient360 enhancement for medical providers

Administrative

Clinical guideline update effective June 1, 2020 -- CG-SURG-92 / Paraesophageal Hernia Repair (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG -- W0163 Pelvic Organ Prolapse Repair

Medical Policy & Clinical Guidelines

Outpatient Rehabilitation Program transition: new prior authorization requirements

Medicare

Reminder: Mid-level practitioners are required to file using their NPI

Medicare

Nonpreferred products and corresponding preferred alternatives

Medicare

Keep up with Medicare news

Medicare

Pharmacy information available on anthem.com

Pharmacy

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020 (MAC)

Material Adverse Change (MAC)
Products & Programs

Reminder: Mid-level practitioners are required to file using their NPI

Reimbursement Policies
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