Colorado
Provider Communications

March 2023 Anthem Provider News - Colorado

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Title Category

Time to prepare for HEDIS medical record review

Administrative

Carelon Medical Benefits Management (formerly AIM Specialty Health) Clinical Appropriateness Guidelines CPT code list update

Administrative

Outpatient Facility Revenue Code Billing Requirements - Facility

Administrative

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

Administrative

March is National Colorectal Cancer Awareness Month

Administrative

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.
Administrative

Drug fee schedule update

Administrative

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

Administrative

Provider directory - annual audit for NCQA Accreditation

Administrative

Working with Anthem webinars

Topic: Provider enrollment application (new providers joining an existing group)
Date/time: Thursday, March 30, 2023, from noon to 1 p.m. MT

Administrative

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

Products & Programs

Medical Policy and Clinical Utilization Management Guidelines notification

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Reimbursement policy update: Modifiers 25 and 57 - Professional

Reimbursement Policies

Specialty pharmacy updates for March 2023

Material Adverse Change (MAC)
Pharmacy

Pharmacy information available on our provider website

Pharmacy

Annual planned visits

Medicare

Controlling High Blood Pressure and Submitting Compliant Readings

Medicare

Shared savings and transition care management after inpatient discharges

Medicare

Informational Update Modifier Usage

Medicare

Keep up with Medicare news - March 2023

Medicare
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