
Provider NewsColorado Provider News Colorado Provider News Colorado Provider Home Archive Subscribe to Email October 2018 Anthem Important Updates - CO Contents AdministrativeCommercialOctober 1, 2018 Facility Revenue Code Billing (Facility Reimbursement Policy - New) AdministrativeCommercialOctober 1, 2018 Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters AdministrativeCommercialOctober 1, 2018 Readmission (Facility Reimbursement Policy - Update) Medical Policy & Clinical GuidelinesCommercialOctober 1, 2018 AIM Specialty Health Clinical Guidelines update - Advanced Imaging of the Heart Medical Policy & Clinical GuidelinesCommercialOctober 1, 2018 AIM Specialty Health Clinical Guidelines update – Radiation Oncology Medical Policy & Clinical GuidelinesCommercialOctober 1, 2018 AIM Specialty Health Clinical Guidelines update - Sleep Disorder Management PharmacyCommercialOctober 1, 2018 Anthem expands specialty pharmacy clinically equivalent drug list PharmacyCommercialOctober 1, 2018 Anthem expands specialty pharmacy pre-certification list PharmacyCommercialOctober 1, 2018 Anthem expands specialty pharmacy level of care (clinical site of care) drug list To view this publication online: Visit https://providernews.anthem.com/colorado/publications/october-2018-anthem-important-updates-co-58 Or scan this QR code with your phone AdministrativeCommercialOctober 1, 2018 Facility Revenue Code Billing (Facility Reimbursement Policy - New) Facility Revenue Code Billing (Facility Reimbursement Policy - New) ATTACHMENTS (available on web): 20181001 Facility Rev Code Billing - Facility Reim Pol -WAVE 63087- CO rv 20180915 final.pdf (pdf - 0.36mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/facility-revenue-code-billing-facility-reimbursement-policy-new-805 Or scan this QR code with your phone AdministrativeCommercialOctober 1, 2018 Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters ATTACHMENTS (available on web): 20181001 Prof Reimb Policy MAC Notifications CO rv 20180917 final.pdf (pdf - 0.46mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/professional-reimbursement-policy-change-and-supporting-claims-editing-notification-for-cms-1500-submitters-806 Or scan this QR code with your phone AdministrativeCommercialOctober 1, 2018 Readmission (Facility Reimbursement Policy - Update) Readmission (Facility Reimbursement Policy - Update) ATTACHMENTS (available on web): 20181001 Readmission Facility Reimbursement Policy udpate - CO 20180913 final.pdf (pdf - 0.35mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/readmission-facility-reimbursement-policy-update-807 Or scan this QR code with your phone Medical Policy & Clinical GuidelinesCommercialOctober 1, 2018 AIM Specialty Health Clinical Guidelines update - Advanced Imaging of the Heart AIM Specialty Health Clinical Guidelines update - Advanced Imaging of the Heart ATTACHMENTS (available on web): 20181001 Update to AIM CGs - Adv Imaging - Heart - CO rv 20180913 final.pdf (pdf - 0.5mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/aim-specialty-health-clinical-guidelines-update-advanced-imaging-of-the-heart-1-808 Or scan this QR code with your phone Medical Policy & Clinical GuidelinesCommercialOctober 1, 2018 AIM Specialty Health Clinical Guidelines update – Radiation Oncology AIM Specialty Health Clinical Guidelines update – Radiation Oncology ATTACHMENTS (available on web): 20181001 Update to AIM CGs - Rad Onc - CO rv 20180913 final.pdf (pdf - 0.47mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/aim-specialty-health-clinical-guidelines-update-radiation-oncology-809 Or scan this QR code with your phone Medical Policy & Clinical GuidelinesCommercialOctober 1, 2018 AIM Specialty Health Clinical Guidelines update - Sleep Disorder Management AIM Specialty Health Clinical Guidelines update - Sleep Disorder Management ATTACHMENTS (available on web): 20181001 Update to AIM CGs - Sleep Disorder Mgmt - CO rv 20180913 final.pdf (pdf - 0.45mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/aim-specialty-health-clinical-guidelines-update-sleep-disorder-management-810 Or scan this QR code with your phone PharmacyCommercialOctober 1, 2018 Anthem expands specialty pharmacy clinically equivalent drug list Anthem expands specialty pharmacy clinically equivalent drug list ATTACHMENTS (available on web): 20181001 Anthem expands SRx clinically equivalent drug list CO rv 09132018 final.pdf (pdf - 0.37mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/anthem-expands-specialty-pharmacy-pre-certification-list-2-802 Or scan this QR code with your phone PharmacyCommercialOctober 1, 2018 Anthem expands specialty pharmacy pre-certification list Anthem expands specialty pharmacy pre-certification list ATTACHMENTS (available on web): 20181001 Anthem expands SRx Pre-Cert list - CO rv 20180913 final.pdf (pdf - 0.47mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/anthem-expands-specialty-pharmacy-pre-certification-list-3-803 Or scan this QR code with your phone PharmacyCommercialOctober 1, 2018 Anthem expands specialty pharmacy level of care (clinical site of care) drug list Anthem expands specialty pharmacy level of care (clinical site of care) drug list ATTACHMENTS (available on web): 20181001 Anthem expands SRx SoC-LoC drug list - CO rv 20180913 final.pdf (pdf - 0.45mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/anthem-expands-specialty-pharmacy-level-of-care-clinical-site-of-care-drug-list-1-804 Or scan this QR code with your phone