CommercialMarch 31, 2023

April 2023 Provider News - Colorado

Administrative

AdministrativeCommercialMarch 31, 2023

Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health)
Material Adverse Change (MAC)

AdministrativeCommercialMarch 31, 2023

Enhanced outpatient facility editing for National Correct Coding Initiative

AdministrativeCommercialMarch 31, 2023

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

AdministrativeCommercialMarch 31, 2023

Expansion of Carelon Medical Benefits Management, Inc. cardiology, genetic testing, and radiology programs effective
Material Adverse Change (MAC)

AdministrativeCommercialMarch 31, 2023

CAA: Maintain your online provider directory information

AdministrativeCommercialMarch 31, 2023

Helping to reduce delays when submitting attachments

AdministrativeCommercialMarch 31, 2023

Medical Oncology Program ProviderPortal case entry enhancements

AdministrativeCommercialMarch 31, 2023

Anthem Blue Cross and Blue Shield to implement new strategic provider system in August 2023
Material Adverse Change (MAC)

Digital SolutionsCommercialMedicare AdvantageMarch 31, 2023

Survey for all skilled nursing facilities

Policy Updates

Policy UpdatesCommercialMarch 31, 2023

Notification about submitting itemized bills
Material Adverse Change (MAC)

Policy UpdatesCommercialMarch 31, 2023

Genetic Testing claim edits

Reimbursement PoliciesCommercialMarch 31, 2023

Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional

Reimbursement PoliciesCommercialMarch 31, 2023

Bundled Services and Supplies - Professional
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialMarch 31, 2023

Notification Regarding Reimbursement Changes to COVID-19 Vaccine Administration update
Material Adverse Change (MAC)

Products & Programs

Products & ProgramsCommercialMedicare AdvantageMarch 31, 2023

Pay Doctor Bill (provider payment option) - General FAQ

Products & ProgramsCommercialMarch 31, 2023

Let’s Vaccinate

Federal Employee Program (FEP)CommercialMarch 31, 2023

HEDIS 2023 Federal Employee Program medical record request requirements

Federal Employee Program (FEP)CommercialMarch 31, 2023

FEP Quality Reimbursement Program update

PharmacyCommercialMarch 31, 2023

Pharmacy information available on our provider website

State & Federal

State & FederalMedicare AdvantageMarch 31, 2023

Authorizations for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) services for consumers with individual, group retiree solutions (GRS), and dual-eligible plans from Medicare Advantage

State & FederalMedicare AdvantageMarch 31, 2023

E-visits

State & FederalMedicare AdvantageMarch 31, 2023

Keep up with Medicare news - April 2023