Georgia
Provider Communications

June 2021 Anthem Provider News - Georgia

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Title Category

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

Anthem to enhance claim edits for outpatient facility claims

Reimbursement Policies

Designated specialty pharmacy network updates

Pharmacy

DEXA bone scan criteria for the Federal Employee Program®

State & Federal

Digital solution options with Availity

Digital Tools

Essential information you need to submit EDI corrected claims

Digital Tools

Inpatient readmissions policy reminder

Medicare Advantage
Medicare

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

Digital Tools

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
Pharmacy

Keep up with Medicare news

Medicare Advantage
Medicare

Keep your contact information current

Administrative

Let’s Vaccinate!

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

MCG care guidelines 25th edition

Medicare Advantage
Medicare

Medical policies and clinical utilization management guidelines update

Medicare Advantage
Medicare

New back pain management program effective July 19, 2021

Products & Programs

Pharmacy information available on anthem.com

Pharmacy

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

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

Medicare Advantage
Medicare

Two great learning resources on one secure portal

Digital Tools

Update to evaluation and management services correct coding (professional)

Reimbursement Policies

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
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