Colorado
Provider Communications

May 2021 Anthem Provider News and Important Updates - Colorado

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Title Category

Modification to voluntary Cancer Care Quality Program, enhanced reimbursement to begin July 1, 2021

Products & Programs

Working with Anthem webinars – May 2021 schedule

Administrative

Updated AIM Rehabilitative Program Effective August 1, 2021 – Initial Evaluations and Site of Service Reviews (MAC)

Material Adverse Change (MAC)
Products & Programs

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
Pharmacy

Non-participating lab referrals

Administrative

Appointment Scheduler application

Digital online scheduling feature now available in the Availity portal.

Administrative

Electronic solutions at your fingertips

Administrative

2021 Affirmative Statement regarding utilization management decisions

Administrative

A helpful and complete guide to covered well-child visits

Administrative

May is National High Blood Pressure education month

A WISEWOMAN™ knows that improving blood pressure is good for the heart.

Administrative

Resources to support diverse patients and communities

Administrative

Send larger digital attachments through Availity

We’ve expanded our file size to 100 megabytes.

Administrative

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

Administrative

Working with Anthem webinars – May 2021 schedule

Administrative

Update to AIM Specialty Health Oncologic Imaging Clinical appropriateness guideline

Medical Policy & Clinical Guidelines

Facility reimbursement policy reminder: Readmission

Reimbursement Policies

Reimbursement policy update: Claims Requiring Additional Documentation (facility)

Reimbursement Policies

Professional reimbursement policy update: Frequency Editing

Reimbursement Policies

Maximizing efficient, high quality COVID-19 screenings

Medicare

Anthem Blue Cross and Blue Shield working with Optum to collect medical records for Medicare risk adjustment

Medicare

Helping our senior members

Medicare

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

Medicare
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