Colorado
Provider Communications

Articles Category: State & Federal > Medicare

Title Publication Category Date

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2019

Keep up with Medicare news

December 2019 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

November 2019 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2019

Prior authorization requirements changes effective November 1, 2019

November 2019 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2019

Keep up with Medicare news

November 2019 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Keep up with Medicare news

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2019

Coming soon: electronic attachments

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Changes to PA requirements

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

New service types added to Availity

August 2019 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2019

Special needs plans -- provider training required

August 2019 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2019

Keep up with Medicare news

August 2019 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Colorado Medicare Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Colorado Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Anthem Provider Newsletter - Colorado Medicare Jun 1, 2019

Fall prevention tips

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Modifier 63: Procedure Performed on Infants Less Than 4 kg - Policy 06-015

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Keep up with Medicare news

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

Dual Eligible Special Needs Plans -- provider training required

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Reminder - Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - CO Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - CO Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Provider Newsletter - CO Medicare Jan 1, 2019

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Colorado Public Employees' Retirement Association (PERA) Offers Medicare Advantage Option

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Please evaluate statin use for Medicare Advantage members with diabetes, cardiovascular disease

November 2018 Anthem Provider Newsletter - CO Medicare Nov 1, 2018

New 2019 Health Care Plan information for all Colorado PERA Retirees - CO

New 2019 Health Care Plan information for all Colorado PERA Retirees - CO Medicare Oct 3, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Provider Newsletter - CO Medicare Oct 1, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Provider Newsletter - CO Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Provider Newsletter - CO Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 Anthem Provider Newsletter - CO Medicare Oct 1, 2018

DME providers and physicians: important wheelchair prior authorization information

September 2018 Anthem Provider Newsletter - CO Medicare Aug 31, 2018

CMS issues regulatory changes for short- and long- acting narcotics; days’ supply limits effective January 1, 2019

September 2018 Anthem Provider Newsletter - CO Medicare Aug 31, 2018

MyDiversePatients.com addresses health care disparities

September 2018 Anthem Provider Newsletter - CO Medicare Aug 31, 2018

Keep up with Medicare news

September 2018 Anthem Provider Newsletter - CO Medicare Aug 31, 2018

MA members receive incentives for completing screenings

August 2018 Anthem Provider Newsletter - CO Medicare Aug 17, 2018

Submit Prior Authorizations medication requests electronically; new phone and fax numbers for MA prescription PAs effective September 1

August 2018 Anthem Provider Newsletter - CO Medicare Aug 17, 2018

Keep up with Medicare news

August 2018 Anthem Provider Newsletter - CO Medicare Aug 17, 2018
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