CommercialMedicare AdvantageJuly 1, 2024
July 2024 Provider Newsletter
Featured Articles
Medicare AdvantageJuly 1, 2024
Admission, discharge, and transfer information is now available for Medicare Advantage members
Administrative
CommercialJuly 1, 2024
Timely receipt of other carrier EOB or rejection helps avoid timely filing denialsCommercialJuly 1, 2024
Anesthesia modifiers — professional editing updateCommercialJuly 1, 2024
Recovery room — facility editing updateCommercialMedicare AdvantageJune 12, 2024
Phoenix Sepsis Criteria for coding and billing pediatric sepsisCommercialJuly 1, 2024
Address change for claims submissions and correspondenceCommercialJuly 1, 2024
CAA: Maintain your online provider directory informationCommercialJuly 1, 2024
CMS drug fee schedule update — third quarter 2024CommercialJune 20, 2024
Digital-only authorization case status notification coming to youEducation & Training
CommercialJune 13, 2024
Faster notification of EDI corrected claims errorsCommercialMedicare AdvantageJuly 1, 2024
July is Disability Awareness MonthPolicy Updates
Medicare AdvantageMay 29, 2024
Carelon Medical Benefits Management, Inc. updatesMedicare AdvantageJune 3, 2024
Clinical Criteria updates — November 2023Medicare AdvantageMay 30, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective July 1, 2024
CommercialJuly 1, 2024
Material adverse change
Medical Policy and Clinical Utilization Management (UM) Guidelines updateCommercialJuly 1, 2024
Material adverse change
Medical Policy and Clinical Utilization Management Guidelines Notification letterCommercialJuly 1, 2024
Material adverse change
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesMedicare AdvantageJune 21, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialJuly 1, 2024
Material adverse change
Carelon Medical Benefits Management, Inc. genetic testing code updatesCommercialJuly 1, 2024
Material adverse change
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialJuly 1, 2024
Material adverse change
Colorado precertification list change notification July 1, 2024CommercialJuly 1, 2024
Material adverse change
Reimbursement policy update: Frequency Editing — ProfessionalCommercialJuly 1, 2024
Material adverse change
New reimbursement policy: Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and FacilityProducts & Programs
CommercialJuly 1, 2024
Antidepressant Medication Management (AMM)Medicare AdvantageJune 20, 2024
Anthem expands specialty pharmacy precertification listQuality Management
Medicare AdvantageJuly 1, 2024
Understanding your role in the Health Outcomes SurveyCOBCBS-CRCM-061266-24
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