Georgia
Provider Communications

Articles Recent

Title	Publication	Category	Date
Provider Manuals on anthem.com	August 2019 Anthem Provider News - Georgia	Administrative	Aug 1, 2019
Anthem customizations to MCG care guidelines 23rd edition	August 2019 Anthem Provider News - Georgia	Administrative	Aug 1, 2019
Updates to AIM Advanced Imaging clinical appropriateness guidelines	August 2019 Anthem Provider News - Georgia	Products & Programs	Aug 1, 2019
Updates to AIM Radiation Oncology: Proton Beam Therapy clinical appropriateness guideline	August 2019 Anthem Provider News - Georgia	Products & Programs	Aug 1, 2019
Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline	August 2019 Anthem Provider News - Georgia	Products & Programs	Aug 1, 2019
National Drug Code requirement on outpatient claims	August 2019 Anthem Provider News - Georgia	Pharmacy	Aug 1, 2019
Clinical Criteria and prior authorization updates for specialty pharmacy are available	August 2019 Anthem Provider News - Georgia	Pharmacy	Aug 1, 2019
Reminder: changes to the process for medical non-oncology specialty drug reviews effective June 15, 2019	August 2019 Anthem Provider News - Georgia	Pharmacy	Aug 1, 2019
Pharmacy information available on the web	August 2019 Anthem Provider News - Georgia	Pharmacy	Aug 1, 2019
Bundled Services reimbursement policy update (Professional)	August 2019 Anthem Provider News - Georgia	Policy Updates	Aug 1, 2019
Frequency Editing reimbursement policy update (Professional)	August 2019 Anthem Provider News - Georgia	Reimbursement Policies	Aug 1, 2019
Georgia medical policy and clinical guideline updates 8/1/2019	August 2019 Anthem Provider News - Georgia	Medical Policy & Clinical Guidelines	Aug 1, 2019
Update to Emergency Department Level of E&M Services reimbursement policy	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
New service types added to Availity	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
Prepayment clinical validation review process	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
New Drug Screen Testing reimbursement policy	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
Unspecified diagnosis code update	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
AIM Specialty Health programs may require documentation	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
Provider training required for special needs plans	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
Keep up with Medicare news	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
UPDATE: new Rehabilitative Program remains temporarily delayed	UPDATE: new Rehabilitative Program remains temporarily delayed	Products & Programs	Jul 16, 2019
UPDATE: new Rehabilitative Program now effective August 1, 2019	UPDATE: new Rehabilitative Program now effective August 1, 2019	Products & Programs	Jul 3, 2019
Update: Provider Town Hall dates	July 2019 Anthem Provider News - Georgia	Administrative	Jul 1, 2019
Make the move to the Availity EDI Gateway today	July 2019 Anthem Provider News - Georgia	Administrative	Jul 1, 2019
Anthem Commercial Risk Adjustment (CRA) reporting update: 2019 Program Year Progression – What’s in it for you and your patients?	July 2019 Anthem Provider News - Georgia	Administrative	Jul 1, 2019
Anthem works to simplify payment recovery process for National Accounts membership	July 2019 Anthem Provider News - Georgia	Administrative	Jul 1, 2019
Clinical Practice and Preventive Health guidelines available on the web	July 2019 Anthem Provider News - Georgia	Administrative	Jul 1, 2019
CORRECTION: Reminder and update: new Rehabilitative Program effective July 1, 2019	July 2019 Anthem Provider News - Georgia	Products & Programs	Jul 1, 2019
Clinical criteria updates for specialty pharmacy	July 2019 Anthem Provider News - Georgia	Pharmacy	Jul 1, 2019
Anthem Federal Employee Health Benefit Program® (FEP) PPO members will now require prior approval for specific specialty drugs and site of care	July 2019 Anthem Provider News - Georgia	Pharmacy	Jul 1, 2019
Clinical Criteria coding updates for specialty pharmacy are available	July 2019 Anthem Provider News - Georgia	Pharmacy	Jul 1, 2019
Modifier 79 reminder (Professional)	July 2019 Anthem Provider News - Georgia	Policy Updates	Jul 1, 2019
Modifier 63 reminder (Professional)	July 2019 Anthem Provider News - Georgia	Policy Updates	Jul 1, 2019
ICD-10-CM Coding Guidelines and Laterality (Professional)	July 2019 Anthem Provider News - Georgia	Policy Updates	Jul 1, 2019
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	July 2019 Anthem Provider News - Georgia	Policy Updates	Jul 1, 2019
Clinical Validation (Professional)	July 2019 Anthem Provider News - Georgia	Policy Updates	Jul 1, 2019
Outpatient Rehabilitation Program transitioning to AIM	July 2019 Anthem Provider News - Georgia	Medicare	Jul 1, 2019
Home health billing guidelines for contracted providers	July 2019 Anthem Provider News - Georgia	Medicare	Jul 1, 2019
Electronic claim payment reconsideration	July 2019 Anthem Provider News - Georgia	Medicare	Jul 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update	July 2019 Anthem Provider News - Georgia	Medicare	Jul 1, 2019
Keep up with Medicare news	July 2019 Anthem Provider News - Georgia	Medicare	Jul 1, 2019
Beacon Health Options	N/A	Behavioral Health	Jun 6, 2019
Update: Sepsis coding	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
Coming Soon! Anthem electronic attachments	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
Anthem launches additional changes to anthem.com for Q2	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
AIM programs may require additional prior authorization documentation	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
New “Find A Doctor” tool sort option	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
New ICR Immediate Decision List posted on Availity Payer Spaces	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
Reminder and update: new Rehabilitative Program effective September 1, 2019	Anthem June 2019 Provider News - Georgia	Products & Programs	Jun 1, 2019
Anthem expands specialty pharmacy prior authorization list	Anthem June 2019 Provider News - Georgia	Pharmacy	Jun 1, 2019
Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019	Anthem June 2019 Provider News - Georgia	Pharmacy	Jun 1, 2019
Pharmacy information available on anthem.com	Anthem June 2019 Provider News - Georgia	Pharmacy	Jun 1, 2019
Frequency Editing (Professional)	Anthem June 2019 Provider News - Georgia	Reimbursement Policies	Jun 1, 2019
New Reimbursement Policy – Ambulance Transportation (Professional)	Anthem June 2019 Provider News - Georgia	Reimbursement Policies	Jun 1, 2019
GA preapproval list change notification 5/1/2019	Anthem June 2019 Provider News - Georgia	Policy Updates	Jun 1, 2019
Georgia medical policy and clinical guideline updates 5/1/2019	Anthem June 2019 Provider News - Georgia	Policy Updates	Jun 1, 2019
Clinical guideline (CG-ANC-07) effective July 1, 2019	Anthem June 2019 Provider News - Georgia	Policy Updates	Jun 1, 2019
Review of professional claims with emergency department level 5 E&M codes	Anthem June 2019 Provider News - Georgia	Medicare	Jun 1, 2019
Why do patients stop taking their prescribed medications and what can you do to help them?	Anthem June 2019 Provider News - Georgia	Medicare	Jun 1, 2019
Keep up with Medicare news	Anthem June 2019 Provider News - Georgia	Medicare	Jun 1, 2019
Electronic member ID cards: Easy online access on the Availity Portal	Anthem May 2019 Provider News - Georgia	Administrative	May 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)	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
Anthem contracted ambulance providers	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
Anthem Commercial Risk Adjustment (CRA) reporting update: Health Assessment requests for 2019 and alternative reporting engagement	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
MCG care guidelines 23rd edition	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
New Service Types added in Eligibility and Benefits on Availity	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
Availity launches changes to our Medical Attachment submission tool	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
Anthem expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema	Anthem May 2019 Provider News - Georgia	Pharmacy	May 1, 2019
Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents	Anthem May 2019 Provider News - Georgia	Pharmacy	May 1, 2019
Medical Policy informational notice	Anthem May 2019 Provider News - Georgia	Policy Updates	May 1, 2019
Reimbursement policy update: Drug Screen Testing (Professional)	Anthem May 2019 Provider News - Georgia	Reimbursement Policies	May 1, 2019
Modifier 63: Procedure performed on infants less than 4 kg: Policy 06-015	Anthem May 2019 Provider News - Georgia	Medicare	May 1, 2019
Medical records request for risk adjustment	Anthem May 2019 Provider News - Georgia	Medicare	May 1, 2019
Fall prevention tips	Anthem May 2019 Provider News - Georgia	Medicare	May 1, 2019
Partial hospitalization services	Anthem May 2019 Provider News - Georgia	Medicare	May 1, 2019
Keep up with Medicare news	Anthem May 2019 Provider News - Georgia	Medicare	May 1, 2019
Exact Sciences Laboratories (Cologuard) is out-of-network for HMO and Blue Open Access POS	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
New for Publix members: Applied Behavioral Analysis Therapy benefits effective January 1, 2019	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Why do patients stop taking their prescribed medications and what can you do to help them?	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
New on Interactive Care Reviewer: Request Clinical Appeals	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Use the Provider Maintenance Form to update your practice information	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Clinical Practice and Preventive Health guidelines available on the web	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
New AIM Rehabilitative program effective July 1, 2019	April 2019 Anthem Provider Newsletter - Georgia	Products & Programs	Apr 1, 2019
Anthem expands specialty pharmacy prior authorization list	April 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Apr 1, 2019
Pharmacy information available on the web	April 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Apr 1, 2019
Notification of preapproval list changes (April 2019)	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
Medical Policy and Clinical Guideline updates 4/1/2019	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
New reimbursement policy: Partial Hospitalization Program and Intensive Outpatient Program Services (Facility)	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 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	April 2019 Anthem Provider Newsletter - Georgia	Medicare	Apr 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members	April 2019 Anthem Provider Newsletter - Georgia	Medicare	Apr 1, 2019
Keep up with Medicare news	April 2019 Anthem Provider Newsletter - Georgia	Medicare	Apr 1, 2019
Provider Town Hall schedule 2019	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Provider manual update	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit	March 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Mar 1, 2019

Page 1 of 4

Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.