Georgia
Provider Communications

Provider Spotlight

Jul 29, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!


Articles Recent

Title Publication Category Date

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!

Clinical Quality CME Webinar Series Continues - Georgia Administrative Jul 29, 2021

Continuing Medical Education (CME) webinar series

July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for international normalized ratio

July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Another mark of the pandemic: an increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors.
July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

We want to help.
July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviews

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

Back pain guide program effective July 19, 2021

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News - Georgia Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News - Georgia Digital Tools Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Georgia Anthem preapproval list change notification 7/1/2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Policy Updates Jul 1, 2021

Medical policy and clinical guideline updates 7/1/2021

July 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2021

New reimbursement policy: Non-Patient Laboratory Services (facility)

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Consultations (professional)

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2021

New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Let’s Vaccinate

Medicare Advantage: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

March 2021 medical drug benefit clinical criteria updates

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patients

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patients

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Keep up with Medicare news

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Information from Anthem for Care Providers about COVID-19 (updated June 10, 2021)

We recently updated information about coverage and cost shares for telephonic-only care.
COVID-19 Information Administrative Jun 10, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Provider News - Georgia Digital Tools Jun 1, 2021

Essential information you need to submit EDI corrected claims

June 2021 Anthem Provider News - Georgia Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Provider News - Georgia Digital Tools Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Provider News - Georgia Digital Tools Jun 1, 2021

Designated specialty pharmacy network updates

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

Keep your contact information current

June 2021 Anthem Provider News - Georgia Administrative Jun 1, 2021

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Anthem Provider News - Georgia Administrative Jun 1, 2021

Regular check-ins with your clearinghouse could affect timely filing

June 2021 Anthem Provider News - Georgia Administrative Jun 1, 2021

Updates to AIM advanced imaging clinical appropriateness guideline

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM musculoskeletal program clinical appropriateness guidelines

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2021

Anthem to enhance claim edits for outpatient facility claims

June 2021 Anthem Provider News - Georgia Reimbursement Policies Jun 1, 2021

Update to evaluation and management services correct coding (professional)

June 2021 Anthem Provider News - Georgia Reimbursement Policies Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Georgia State & Federal Jun 1, 2021

MCG care guidelines 25th edition

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

Inpatient readmissions policy reminder

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

Keep up with Medicare news

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

Let’s Vaccinate!

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
June 2021 Anthem Provider News - Georgia Products & Programs Jun 1, 2021

New back pain management program effective July 19, 2021

June 2021 Anthem Provider News - Georgia Products & Programs Jun 1, 2021

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!



Clinical Quality CME Webinar Series - Georgia Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and implicit bias.
Deconstructing Bias Forum invitation for Georgia providers Administrative May 21, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Provider News - Georgia Products & Programs May 1, 2021

Updated AIM Rehabilitative program effective August 1, 2021: initial evaluations and site of service reviews

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Products & Programs May 1, 2021

Fewer repeat visits to the emergency room with follow-up care

May 2021 Anthem Provider News - Georgia Behavioral Health May 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

May 2021 Anthem Provider News - Georgia Pharmacy May 1, 2021

Updates for specialty pharmacy are available (May 2021)

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Pharmacy May 1, 2021

New Regional Vice President for Georgia Networks

May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Anthem’s new strategic provider system launched in April

May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Anthem’s Digital Provider Enrollment application now available for providers who do not use CAQH

May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

2021 Affirmative statement regarding utilization management decisions

May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Digital online scheduling feature now available in the Availity portal

May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

May is national high blood pressure education month

A WISEWOMANTM knows that improving blood pressure is good for the heart
May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Updated provider manual posted to anthem.com

May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments

Electronic solutions @ your fingertips
May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Send larger digital attachments through Availity

File size has been expanded to 100 megabytes
May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Georgia Anthem preapproval list change notification 5/1/2021

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Policy Updates May 1, 2021

Update to AIM Specialty Health Oncologic Imaging clinical appropriateness guidelines

May 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines May 1, 2021

Clinical guideline update

May 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines May 1, 2021

Reimbursement policy reminder: readmission (facility)

May 2021 Anthem Provider News - Georgia Reimbursement Policies May 1, 2021

Reimbursement policy update: frequency editing (professional)

May 2021 Anthem Provider News - Georgia Reimbursement Policies May 1, 2021

Reimbursement policy update: claims requiring additional documentation (facility)

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Reimbursement Policies May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

Medicare Advantage
May 2021 Anthem Provider News - Georgia Medicare May 1, 2021

Keep up with Medicare news

Medicare Advantage
May 2021 Anthem Provider News - Georgia Medicare May 1, 2021

UPDATE for commercial providers regarding the AIM sleep therapy program CPT code E1399, NOC: durable medical equipment, miscellaneous.

April 2021 Anthem Provider News - Georgia Products & Programs Apr 1, 2021

Correction: updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information Administrative Apr 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Updates for specialty pharmacy are available (April 2021)

Material adverse change (MAC)
April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Join Anthem in talking about racism and its impact on health

April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

New billing requirements for provider data management system launching in April

April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

Interactive bilingual website taking action for our health

Exclusively developed for the Latino community
April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

Payer Spaces: name change announcement (Availity)

April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

Understanding Availity roles for electronic data interchange (EDI)

April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

Keeping up with routine vaccination during COVID-19: well-child visits and vaccinations are essential services

April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

Chat directly with a prior authorization specialist

April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

Medical policy and clinical guideline updates 4/1/2021

April 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Apr 1, 2021

MCG care guidelines 25th edition

Material adverse change (MAC)
April 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Apr 1, 2021

Georgia Anthem preapproval list change notification 3/1/2021

Material adverse change (MAC)
April 2021 Anthem Provider News - Georgia Policy Updates Apr 1, 2021

The heath of millennials: trends in behavioral health conditions

April 2021 Anthem Provider News - Georgia Behavioral Health Apr 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

Federal Employee Program® (FEP)
April 2021 Anthem Provider News - Georgia State & Federal Apr 1, 2021

Medical drug benefit clinical criteria updates

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021
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