Georgia
Provider Communications

April 2019 Anthem Provider Newsletter - Georgia

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Title Category

Provider manual update

Administrative

Provider Town Hall schedule 2019

Administrative

Exact Sciences Laboratories (Cologuard) is out-of-network for HMO and Blue Open Access POS

Administrative

New for Publix members: Applied Behavioral Analysis Therapy benefits effective January 1, 2019

Administrative

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

Administrative

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

Administrative

New on Interactive Care Reviewer: Request Clinical Appeals

Administrative

Use the Provider Maintenance Form to update your practice information

Administrative

Clinical Practice and Preventive Health guidelines available on the web

Administrative

New AIM Rehabilitative program effective July 1, 2019

Products & Programs

Anthem expands specialty pharmacy prior authorization list

Pharmacy

Pharmacy information available on the web

Pharmacy

Notification of preapproval list changes (April 2019)

Policy Updates

Medical Policy and Clinical Guideline updates 4/1/2019

Policy Updates

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

Policy Updates

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

Policy Updates

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

Policy Updates

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines

Policy Updates

New reimbursement policy: Partial Hospitalization Program and Intensive Outpatient Program Services (Facility)

Policy Updates

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

Medicare

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

Medicare

Keep up with Medicare news

Medicare
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