Georgia
Provider Communications

Anthem June 2019 Provider News - Georgia

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Title Category

Update: Sepsis coding

Administrative

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR

Administrative

Coming Soon! Anthem electronic attachments

Administrative

Anthem launches additional changes to anthem.com for Q2

Administrative

AIM programs may require additional prior authorization documentation

Administrative

New “Find A Doctor” tool sort option

Administrative

New ICR Immediate Decision List posted on Availity Payer Spaces

Administrative

Reminder and update: new Rehabilitative Program effective September 1, 2019

Products & Programs

Anthem expands specialty pharmacy prior authorization list

Pharmacy

Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Frequency Editing (Professional)

Reimbursement Policies

New Reimbursement Policy – Ambulance Transportation (Professional)

Reimbursement Policies

GA preapproval list change notification 5/1/2019

Policy Updates

Georgia medical policy and clinical guideline updates 5/1/2019

Policy Updates

Clinical guideline (CG-ANC-07) effective July 1, 2019

Policy Updates

Review of professional claims with emergency department level 5 E&M codes

Medicare

Why do patients stop taking their prescribed medications and what can you do to help them?

Medicare

Keep up with Medicare news

Medicare
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