Georgia
Provider Communications

January 2023 Anthem Provider News - Georgia

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Title Category

Professional system updates for 2023

Administrative

Outpatient system updates for 2023

Administrative

Notification regarding reimbursement changes to COVID-19 laboratory services codes (MAC)

Material adverse change (MAC)

Administrative

Childhood Immunization Status and Lead Screening in Children for HEDIS

Administrative

Engagement with your patient counts

Administrative

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

Administrative

Anthem Blue Cross and Blue Shield local precertification change in Georgia (MAC)

Material adverse change (MAC)

Administrative

Submitting prior authorizations digitally through Interactive Care Reviewer

Digital Tools

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

Medical Policy & Clinical Guidelines

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update (MAC)

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

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

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change (MAC)

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

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

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Georgia Medical Policy and Clinical Guideline updates

Medical Policy & Clinical Guidelines

Outpatient facility revenue code billing requirements

Reimbursement Policies

Specialty pharmacy updates (MAC)

Material adverse change (MAC)

Pharmacy

Federal Employee Program observation conversion for musculoskeletal cases (MAC)

Material adverse change (MAC)

Federal Employee Plan (FEP)

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