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 Next Page