CommercialMarch 1, 2023
March 2023 Anthem Provider News - Connecticut
Administrative
CommercialMedicare AdvantageMarch 1, 2023
Time to prepare for HEDIS medical record reviewCommercialMarch 1, 2023
New policy for EMR clinical data sharing and ADT notificationsCommercialMarch 1, 2023
Reminder: Updated Carelon Medical Benefits Management, Inc. Musculoskeletal Program effective April 1, 2023 - Site of care reviewsCommercialMedicare AdvantageMarch 1, 2023
Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list updateCommercialMarch 1, 2023
March is National Colorectal Cancer Awareness MonthCommercialMarch 1, 2023
Provider directory - annual audit for NCQA AccreditationCommercialMedicare AdvantageMarch 1, 2023
Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measuresCommercialMarch 1, 2023
Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviewsCommercialMedicare AdvantageMarch 1, 2023
You are invited: Advancing Mental Health Equity for Youth & Young AdultsRegister today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.
Policy Updates
CommercialMarch 1, 2023
Reimbursement policy update: Modifiers 25 and 57 - ProfessionalCommercialMarch 1, 2023
Reimbursement policy reminder: observation servicesProducts & Programs
CommercialMedicare AdvantageMarch 1, 2023
Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023CommercialMarch 1, 2023
Pharmacy information available on our provider websiteCommercialMarch 1, 2023
Specialty pharmacy updates for March 2023CommercialMarch 1, 2023
Clinical Criteria updates for specialty pharmacyState & Federal
Medicare AdvantageMarch 1, 2023
Informational Update Modifier UsageMedicare AdvantageMarch 1, 2023
Shared savings and transition care management after inpatient dischargesMedicare AdvantageMarch 1, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsMedicare AdvantageMarch 1, 2023
Annual planned visitsMedicare AdvantageMarch 1, 2023
Keep up with Medicare newsPlease continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
- Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List in Connecticut
- Clinical Criteria updates
- Carelon Medical Benefits Management, Inc. Genetic Testing Clinical Appropriateness Guidelines CPT code list update
- What date to select for inpatient admissions for claims
- New specialty pharmacy medical step therapy requirements
- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
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