Georgia
Provider Communications

June 2021 Anthem Provider News - Georgia

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Title Category

Keep your contact information current

Administrative

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

Administrative

Regular check-ins with your clearinghouse could affect timely filing

Administrative

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

Digital Tools

Essential information you need to submit EDI corrected claims

Digital Tools

Digital solution options with Availity

Digital Tools

Two great learning resources on one secure portal

Digital Tools

Updates to AIM advanced imaging clinical appropriateness guideline

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM musculoskeletal program clinical appropriateness guidelines

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

MCG care guidelines 25th edition

Medicare Advantage
Medicare

Medical policies and clinical utilization management guidelines update

Medicare Advantage
Medicare

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

Medicare Advantage
Medicare

Inpatient readmissions policy reminder

Medicare Advantage
Medicare

Keep up with Medicare news

Medicare Advantage
Medicare

Designated specialty pharmacy network updates

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
Pharmacy

Let’s Vaccinate!

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
Products & Programs

New back pain management program effective July 19, 2021

Products & Programs

Anthem to enhance claim edits for outpatient facility claims

Reimbursement Policies

Update to evaluation and management services correct coding (professional)

Reimbursement Policies

DEXA bone scan criteria for the Federal Employee Program®

State & Federal
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