Connecticut
Provider Communications

June 2019 Anthem Connecticut Provider Newsletter

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Title Category

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

Medicare

Specialty pharmacy pre-service clinical review list expanded effective September 1, 2019

Pharmacy

Sepsis coding update

Administrative

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

Medicare

Reminder and update: new Rehabilitative Program effective July 1, 2019

Products & Programs

Pharmacy information available on anthem.com

Pharmacy

New Reimbursement Policy - Ambulance Transportation - professional

Reimbursement Policies

Misrouted protected health information (PHI)

Administrative

Medical policy updates are available on anthem.com

Medical Policy & Clinical Guidelines

Medical non-oncology specialty drug review changes effective June 15, 2019

Pharmacy

Keep up with Medicare news

Medicare

Frequency Editing - professional

Reimbursement Policies

Find a Doctor - new sort option

Administrative

Electronic attachments coming soon

Administrative

Commercial Risk Adjustment (CRA) reporting update: Retrospective Program begins; benefits of direct connection access to your EMR

Administrative

Coding Updates

Medical Policy & Clinical Guidelines

Coding Updates

Medical Policy & Clinical Guidelines

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

Clinical Guideline CG-ANC-07 effective September 1, 2019

Medical Policy & Clinical Guidelines

Claim Status Inquiry and Secure Messaging changes on the Availity Portal

Administrative

AIM programs may require additional prior authorization documentation

Products & Programs

Adult BMI Assessment

Administrative

Additional changes launched to anthem.com for Q2

Administrative
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