Georgia
Provider Communications

October 2020 Anthem Provider News - Georgia

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Title Category

REMINDER: Expansion of AIM Musculoskeletal Program effective November 1, 2020

Products & Programs

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed to December 1, 2020

Products & Programs

New Blue HPN® network included in plans available for employee fall 2020 open enrollment

Products & Programs

Updated Coverage for breast cancer prevention medications

Pharmacy

Federal Employee Program® expands specialty pharmacy prior authorization list

Pharmacy

FDA approvals and expedited pathways used - New Molecular Entities (NMEs)

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Anthem updates formulary lists for commercial health plan pharmacy benefit

Pharmacy

Anthem prior authorization updates for specialty pharmacy are available October 2020

Pharmacy

New medical claim attachment webinars: register today!

Administrative

What matters most: Improving the patient experience

Administrative

Anthem Commercial Risk Adjustment (CRA) reporting update: New guidance on telephone-only service CPT codes for risk adjustment program

Administrative

Prior authorization update for commercial business

Administrative

National Accounts 2021 pre-certification list

Administrative

Electronic member ID cards available on the Availity Portal

Administrative

Reimbursement policy update: Emergency Department: Leveling of Evaluation and Management Services (Facility)

Reimbursement Policies

Evaluation and management services correct coding (Professional)

Reimbursement Policies

Reimbursement policy update: Laboratory and Venipuncture (Professional)

Reimbursement Policies

Reimbursement policy update: Claims Requiring Additional Documentation policy (Facility)

Reimbursement Policies

Social determinants of health support expanding GroundGame Health

Medicare

Update: Notice of changes to the AIM musculoskeletal program

Medicare

Prior authorization requirements for the below codes

Medicare

Provider transparency update

Medicare

Prior authorization requirements for the below codes

Medicare

Patient360 enhancement for medical providers

Medicare

Medical drug benefit Clinical Criteria updates

Medicare

Keep up with Medicare news

Medicare
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