Georgia
Provider Communications

March 2023 Anthem Provider News - Georgia

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Title Category

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update (MAC)

Material adverse change (MAC)
Administrative

New policy for EMR clinical data sharing and ADT notifications (MAC)

Material adverse change
Administrative

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.
Administrative

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

Administrative

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

Administrative

March is National Colorectal Cancer Awareness Month

Administrative

Time to prepare for HEDIS medical record review

Administrative

Provider directory - annual audit for NCQA Accreditation

Administrative

Reimbursement policy update: Modifiers 25 and 57 - Professional

Reimbursement Policies

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

Products & Programs

Specialty pharmacy updates for March 2023 (MAC)

Material adverse change (MAC)

Pharmacy

Pharmacy information available on our provider website

Pharmacy

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

Clinical Criteria updates for specialty pharmacy

Pharmacy

Controlling High Blood Pressure and Submitting Compliant Readings

Medicare

Informational Update Modifier Usage

Medicare

Shared savings and transition care management after inpatient discharges

Medicare

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update

Medicare

Annual planned visits

Medicare

Keep up with Medicare news

Medicare Advantage
Medicare
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