Connecticut
Provider Communications

January 2021 Anthem Connecticut Provider News

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Title Category

Prior authorization updates for specialty pharmacy

Pharmacy

IngenioRx introduces new pharmacy network in 2021

Pharmacy

New Blue HPN® plans in effect

Administrative

Emergency Department: Leveling of Evaluation and Management Services

Administrative

Notice of Evaluation and Management services correct coding and Provider Manual update

Administrative

Procedure searches in Find Care - new sort option beginning March 1, 2021

Administrative

New features added to Interactive Care Reviewer

Administrative

Find out in minutes why your claim denied

Administrative

Self-service, digital transactions are fast and easy

Administrative

Evaluation and Management changes for 2021

Administrative

System updates for 2021 for professional services - professional

Administrative

System updates for 2021 for outpatient services - facility

Administrative

Claims editing update for ICD-10-CM Excludes1 notes

Administrative

It’s almost CAHPS survey time

Administrative

Availity Attachment tools live webinars

Administrative

MCG Care Guidelines 24th Edition customization

Administrative

Annual notice - Compliance with federal law, state law, and Anthem policies and procedures

Administrative

Reimbursement policy update - Clinic Charges - Facility

Reimbursement Policies

Reimbursement policy update: Multiple Diagnostic Imaging Procedures - professional

Reimbursement Policies

Reimbursement policy update: Frequency Editing - professional

Reimbursement Policies

Reimbursement policy update: Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

Reimbursement Policies

Reimbursement policy update: Modifier Rules - professional

Reimbursement Policies

Reimbursement policy update: Unit Frequency Maximum for Drugs and Biologicals - professional

Reimbursement Policies

Medical policy and clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

2021 FEP® Benefit information available online

Federal Employee Plan (FEP)

Medical drug benefit clinical criteria updates

Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

Medicare

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

Medicare

Keep up with Medicare news

Medicare
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