CommercialMarch 1, 2023
March 2023 Anthem Provider News - Colorado
Administrative
CommercialMarch 1, 2023
Time to prepare for HEDIS medical record reviewCommercialMarch 1, 2023
Carelon Medical Benefits Management (formerly AIM Specialty Health) Clinical Appropriateness Guidelines CPT code list updateCommercialMarch 1, 2023
Outpatient Facility Revenue Code Billing Requirements - FacilityCommercialMedicare AdvantageMarch 1, 2023
Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measuresCommercialMarch 1, 2023
March is National Colorectal Cancer Awareness MonthCommercialMedicare AdvantageMarch 1, 2023
You are invited: Advancing Mental Health Equity for Youth & Young AdultsCommercialMarch 1, 2023
Drug fee schedule updateCommercialMarch 1, 2023
Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviewsCommercialMarch 1, 2023
Provider directory - annual audit for NCQA AccreditationCommercialMarch 1, 2023
Working with Anthem webinarsTopic: Provider enrollment application (new providers joining an existing group)
Date/time: Thursday, March 30, 2023, from noon to 1 p.m. MT
Policy Updates
CommercialMarch 1, 2023
Medical Policy and Clinical Utilization Management Guidelines notificationCommercialMarch 1, 2023
Reimbursement policy update: Modifiers 25 and 57 - ProfessionalProducts & Programs
CommercialMedicare AdvantageMarch 1, 2023
Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023CommercialMarch 1, 2023
Pharmacy information available on our provider websiteState & Federal
Medicare AdvantageMarch 1, 2023
Annual planned visitsMedicare AdvantageMarch 1, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsMedicare AdvantageMarch 1, 2023
Shared savings and transition care management after inpatient dischargesMedicare AdvantageMarch 1, 2023
Informational Update Modifier UsageMedicare AdvantageMarch 1, 2023
Keep up with Medicare news - March 2023- Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List in Colorado
- Carelon Medical Benefits Management, Inc. Genetic Testing Clinical Appropriateness Guidelines CPT code list update
- What date to select for inpatient admissions for claims
- Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements
- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
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