Georgia
Provider Communications

December 2022 Anthem Provider News - Georgia

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Title Category

CAA: Timely updates help keep our provider directories current

Administrative

Attention lab providers: COVID-19 update regarding reimbursement (MAC)

Material adverse change (MAC)

Administrative

Member’s assessment of behavioral healthcare after-hours messaging in 2022

Administrative

Member assessment of PCP after-hours messaging in 2022

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Members’ rights and responsibilities

Administrative

Coordination of care

Administrative

Case management program

Administrative

Important information about utilization management

Administrative

IngenioRx will become CarelonRx on January 1, 2023

Administrative

Signature requirements for laboratory orders or requisitions

Administrative

Specialty pharmacy updates - December 2022 (MAC)

Material adverse change (MAC)
Pharmacy

Pharmacy information available on the provider website

Pharmacy

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

Reimbursement policy update: Bundled Services and Supplies - Professional (MAC)

Material adverse change (MAC)
Reimbursement Policies

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility (MAC)

Material adverse change (MAC)

Reimbursement Policies

Reimbursement policy update: Multiple Surgery - Facility

Reimbursement Policies

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Medical Policy & Clinical Guidelines

2023 Medicare Advantage service area and benefit updates

Medicare

Personal home helper benefit ending

Medicare

Keep up with Medicare news

Medicare Advantage
Medicare
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