Georgia
Provider Communications

July 2019 Anthem Provider News - Georgia

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Title Category

Update: Provider Town Hall dates

Administrative

Make the move to the Availity EDI Gateway today

Administrative

Anthem Commercial Risk Adjustment (CRA) reporting update: 2019 Program Year Progression – What’s in it for you and your patients?

Administrative

Anthem works to simplify payment recovery process for National Accounts membership

Administrative

Clinical Practice and Preventive Health guidelines available on the web

Administrative

CORRECTION: Reminder and update: new Rehabilitative Program effective July 1, 2019

Products & Programs

Clinical criteria updates for specialty pharmacy

Pharmacy

Anthem Federal Employee Health Benefit Program® (FEP) PPO members will now require prior approval for specific specialty drugs and site of care

Pharmacy

Clinical Criteria coding updates for specialty pharmacy are available

Pharmacy

Modifier 79 reminder (Professional)

Policy Updates

Modifier 63 reminder (Professional)

Policy Updates

ICD-10-CM Coding Guidelines and Laterality (Professional)

Policy Updates

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Policy Updates

Clinical Validation (Professional)

Policy Updates

Outpatient Rehabilitation Program transitioning to AIM

Medicare

Home health billing guidelines for contracted providers

Medicare

Electronic claim payment reconsideration

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Keep up with Medicare news

Medicare
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