Georgia
Provider Communications

December 2021 Anthem Provider News - Georgia

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Title Category

Important information about utilization management

Administrative

Coordination of care

Administrative

Member rights and responsibilities

Administrative

Professional system updates for 2022

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

Administrative

Outpatient system updates for 2022

Administrative

Chlamydia is asymptomatic. Only through screening will we know for sure.

Administrative

Behavioral healthcare appointment access requirements

Administrative

Importance of PCP after-hours messaging

Administrative

Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
Digital Tools

Updated AIM musculoskeletal program site of care reviews delayed

Products & Programs

Case Management Program

Products & Programs

Anthem Blue Cross and Blue Shield clinical criteria updates for specialty pharmacy are available

Pharmacy

December 2021 specialty pharmacy updates (MAC)

Material adverse change (MAC)
Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional) (MAC)

Material adverse change (MAC)
Reimbursement Policies

Reimbursement policy update: Virtual Visits (professional and facility)

Reimbursement Policies

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

Reimbursement Policies

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams (professional)

Reimbursement Policies

Non-payment remittance advice enhancements

Medicare Advantage
Medicare

Policy Update: Drug Screen Testing

Medicare Advantage
Medicare

2022 Medicare Advantage service area and benefit updates

Medicare Advantage
Medicare

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare Advantage
Medicare

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare Advantage
Medicare

Somatus is your resource for kidney care management

Medicare Advantage
Medicare

Keep up with Medicare news

Medicare Advantage
Medicare
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