CommercialMedicare AdvantageAugust 1, 2023
August 2023 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageAugust 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!
Administrative
CommercialAugust 1, 2023
Cultural competency and diversity training offeredCommercialAugust 1, 2023
Anthem Blue Cross and Blue Shield appropriate coding helps provide a comprehensive picture of patients’ health and services providedCommercialMedicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement AmendmentsMedicare AdvantageJuly 18, 2023
Urinary tract infection tool kits are on the wayCommercialAugust 1, 2023
Federal Consolidated Appropriations Act (CAA) Gag ClauseCommercialAugust 1, 2023
CAA: Review your online provider directory information regularlyPolicy Updates
Medicare AdvantageJune 29, 2023
Clinical Criteria updates - March 2023CommercialAugust 1, 2023
Material adverse change
Updates to Carelon Medical Benefits Management, Inc. Joint Surgery, Small Joint Surgery, and MSK Level of Care Clinical Appropriateness GuidelinesMedicare AdvantageJuly 25, 2023
Prior authorization requirement changes effective November 1, 2023Medicare AdvantageAugust 1, 2023
Technology Assisted Surgical ProceduresProducts & Programs
CommercialAugust 1, 2023
Pharmacy information available on our provider websiteMedicare AdvantageAugust 1, 2023
Medication adherence: Back to the basicsMedicare AdvantageAugust 1, 2023
Why statin therapy is important in your patients with diabetesQuality Management
Medicare AdvantageAugust 1, 2023
Healthy blood pressure recheck initiativeMedicare AdvantageAugust 1, 2023
Healthy blood pressure recheck initiativeCommercialMedicare AdvantageJuly 14, 2023
Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® MeasureCOBCBS-CRCM-030297-23
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
-Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
-Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
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