CommercialMedicare AdvantageJuly 1, 2024
July 2024 Provider Newsletter
Featured Articles
Medicare AdvantageJuly 1, 2024
Admission, discharge, and transfer information is now available for Medicare Advantage members
CommercialJuly 1, 2024
Connecticut fee schedule revision October 2024
CommercialJuly 1, 2024
Important changes to payment structure for PT, OT, and ST
Administrative
CommercialJuly 1, 2024
Drugs and biologicCommercialJuly 1, 2024
Timely receipt of other carrier EOB or rejection helps avoid timely filing denialsCommercialJuly 1, 2024
Recovery room — facility editing updateCommercialMedicare AdvantageJune 12, 2024
Phoenix Sepsis Criteria for coding and billing pediatric sepsisCommercialJuly 1, 2024
CAA: Maintain your online provider directory informationCommercialJune 20, 2024
Digital-only authorization case status notification coming to youEducation & Training
CommercialMedicare AdvantageJuly 1, 2024
July is Disability Awareness MonthCommercialJune 13, 2024
Faster notification of EDI corrected claims errorsPolicy Updates
Medicare AdvantageJune 3, 2024
Clinical Criteria updates — November 2023Medicare AdvantageMay 29, 2024
Carelon Medical Benefits Management, Inc. updatesCommercialMedicare AdvantageJune 27, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialJuly 1, 2024
Medical Policy and Clinical Guideline updatesMedicare AdvantageMay 30, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective August 30, 2024
CommercialJuly 1, 2024
Precertification list change notification July 1, 2024CommercialMay 7, 2024
Anthem Precertification List Change Notification for July 1, 2024CommercialJune 19, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesCommercialJuly 1, 2024
Reimbursement policy update: Incident to Services — ProfessionalCommercialJuly 1, 2024
New reimbursement policy: Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and FacilityCommercialJuly 1, 2024
Reimbursement policy update: Frequency Editing — ProfessionalProducts & Programs
CommercialJuly 1, 2024
Antidepressant Medication Management (AMM)CommercialJuly 1, 2024
Correction: Specialty pharmacy updates — July 2024Medicare AdvantageJune 20, 2024
Anthem expands specialty pharmacy precertification listQuality Management
Medicare AdvantageJuly 1, 2024
Understanding your role in the Health Outcomes SurveyCTBCBS-CRCM-061267-24
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