Colorado
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Ambulance Transportation (Professional Reimbursement Policy - New)

June 2019 Anthem Important Updates - Colorado Reimbursement Policies Jun 1, 2019

Clinical Validation (Professional Reimbursement Policy - Update)

June 2019 Anthem Important Updates - Colorado Reimbursement Policies Jun 1, 2019

Frequency Editing (Professional Reimbursement Policy - Update)

June 2019 Anthem Important Updates - Colorado Reimbursement Policies Jun 1, 2019

Medical Policy and Clinical UM Guidelines notification letter

June 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Jun 1, 2019

CORRECTION: Notice regarding post-pay review of ER claims

CORRECTION: Notice regarding post-pay review of ER claims - Colorado Reimbursement Policies May 16, 2019

MCG care guidelines 23rd Edition and Anthem customizations

May 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines May 1, 2019

Review of professional claims with emergency room level 5 E/M codes - *CORRECTION: For more information, refer to article published May 16, 2019.

May 2019 Anthem Provider Newsletter - Colorado Reimbursement Policies May 1, 2019

Drug Screen Testing (Professional Reimbursement Policy - Updated)

May 2019 Anthem Provider Newsletter - Colorado Reimbursement Policies May 1, 2019

Partial Hospitalization and Intensive Outpatient Program Services (Facility Reimbursement Policy - New)

April 2019 Anthem Important Updates - Colorado Reimbursement Policies Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Advanced Imaging of the Head and Neck

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Advanced Imaging of the Heart

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Musculoskeletal Joint Surgery

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Sleep Disorder Management

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

Medical Policy and Clinical UM Guideline changes notification letter

March 2019 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Mar 1, 2019

Body Mass Index (BMI) (Facility Reimbursement Policy - Update)

February 2019 Anthem Important Updates - CO Reimbursement Policies Feb 1, 2019

Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters

February 2019 Anthem Important Updates - CO Reimbursement Policies Feb 1, 2019

AIM Specialty Health Clinical Guidelines update - Musculoskeletal Program

February 2019 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Feb 1, 2019

Medical Policy and Clinical UM Guidelines change notification letter

February 2019 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Feb 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 (Professional)

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

Significant Edits (Professional)

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

Reminder: Review ICD-10-CM Coding Guidelines (Professional)

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

Reimbursement Policies are available online

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

Clear Claim Connection: our web-based claim edit tool

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

Medical Policy and Clinical UM Guideline changes notification letter

January 2019 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Jan 1, 2019

Clear Claim Connection

January 2019 Anthem Provider Newsletter - CO Reimbursement Policies Jan 1, 2019

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Provider Newsletter - CO Reimbursement Policies Jan 1, 2019

Reimbursement Policies are available online

January 2019 Anthem Provider Newsletter - CO Reimbursement Policies Jan 1, 2019

Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters

December 2018 Anthem Important Updates - CO Reimbursement Policies Dec 1, 2018

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services - Professional

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

System updates for reimbursement policies in 2019 - Professional

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Modifier 79 - Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period - Professional

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Clear Claim Connection

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Reimbursement for Convenience Surgical Supply Kits - Professional

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Scope of License - Reimbursement Policy Update (Professional)

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Reimbursement Policies are available online

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Medical Policy, Clinical UM Guidelines, and Pre-certification changes notification letter

November 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Nov 1, 2018

AIM Specialty Health Clinical Guidelines update - Advanced Imaging of the Heart

October 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Oct 1, 2018

AIM Specialty Health Clinical Guidelines update – Radiation Oncology

October 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Oct 1, 2018

AIM Specialty Health Clinical Guidelines update - Sleep Disorder Management

October 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Oct 1, 2018

Assistant Surgery Services/Code List policy update - Professional

October 2018 Anthem Provider Newsletter - CO Reimbursement Policies Oct 1, 2018

Reimbursement Policies are available online

October 2018 Anthem Provider Newsletter - CO Reimbursement Policies Oct 1, 2018

Clear Claim Connection

October 2018 Anthem Provider Newsletter - CO Reimbursement Policies Oct 1, 2018

Medical Policy, Clinical UM Guidelines, and Pre-certification changes notification letter

September 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 31, 2018

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

September 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 31, 2018

Reimbursement Policies are available online

September 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 31, 2018

Clear Claim Connection

September 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 31, 2018

Medical Policy, Clinical UM Guidelines, and Pre-certification changes notification letter

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Update to AIM Advanced Imaging Clinical Guidelines

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Update to AIM Level of Care Musculoskeletal Surgery Clinical Guidelines

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Update to AIM Radiation Oncology Clinical Guidelines

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Bundled Services and Supplies – Professional

August 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 17, 2018

Once per Lifetime Procedures – Professional

August 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 17, 2018

Reimbursement Policies are available online

August 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 17, 2018

Clear Claim Connection

August 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 17, 2018
Page 1 of 1