Georgia
Provider Communications

June 2022 Anthem Provider News - Georgia

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Title Category

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield (“Anthem”) and Motivo* for Anthem providers on June 22, 2022.
Administrative

CAA: Provider directories accuracy is important

Administrative

Once-a-year testing is critically important to providing quality diabetes care

Administrative

Update use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

Administrative

Provider outreach to validate your provider data

Administrative

Opioid overdose deaths: What can we do?

Behavioral Health

Process change for Federal Employee Program® third-party correspondence requests

Federal Employee Plan (FEP)

Updates to AIM Specialty Health musculoskeletal 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

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines (MAC)

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

Medicare Advantage
Medicare

Medical drug benefit Clinical Criteria updates

Medicare Advantage
Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare Advantage
Medicare

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare Advantage

Medicare

Provider notice for COVID-19 testing

Medicare Advantage
Medicare

Keep up with Medicare news

Medicare Advantage

Medicare

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

June 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
Pharmacy

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

Material adverse change (MAC)
Products & Programs

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

Material adverse change (MAC)
Reimbursement Policies
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