Georgia
Provider Communications

September 2022 Anthem Provider News - Georgia

Title	Category
Correction: New patient evaluation and management services when reported for the same patient within the last three years	Administrative
Continuing to Explore the Intersection of Race and Disability	Administrative
Important information about women’s preventive care visits	Administrative
CAA: Current provider directory information is key for members and providers to engage with you seamlessly	Administrative
Monkeypox resources and recommendations for our care providers This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem).	Administrative
Updates to the Claim Attachment workflow Three things to do when you do not find your claim in Claim Status	Digital Tools
Anthem Blue Cross and Blue Shield to accept Hospital in Home services This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem).	Digital Tools
Anthem clinical criteria updates for specialty pharmacy are available	Pharmacy
Update to formulary lists for Commercial health plan pharmacy benefit	Pharmacy
September 2022 Specialty pharmacy updates (MAC) Material Adverse Change (MAC)	Pharmacy
Drug code billing reminder	Pharmacy
Commercial reimbursement policy update to Modifier 66: Surgical Teams (Professional)	Reimbursement Policies
Policy Update: Modifier Rules (Professional) (MAC) Material adverse change (MAC)	Reimbursement Policies
Reimbursement policy update Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional)	Reimbursement Policies
OBRA 93 claim filing for Federal Employee Program	Federal Employee Plan (FEP)
Prior authorization requirement changes effective December 1, 2022 Medicare Advantage	Medicare
Reminder: AIM prior authorization phone number change for Medicare Medicare Advantage	Medicare
Enhancing claims attachment processes through digital applications Medicare Advantage	Medicare
Policy Update — Modifiers 25 and 57: Evaluation and Management with Global Procedures Medicare Advantage	Medicare
Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification List Medicare Advantage	Medicare
Keep up with Medicare news Medicare Advantage Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC) Clinical Criteria updates Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ	Medicare

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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), which underwrites or administers the PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwrites or administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem websites constitutes your agreement with our Terms of Use.

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Georgia
Provider Communications

September 2022 Anthem Provider News - Georgia

Correction: New patient evaluation and management services when reported for the same patient within the last three years

Continuing to Explore the Intersection of Race and Disability

Important information about women’s preventive care visits

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

Monkeypox resources and recommendations for our care providers

Updates to the Claim Attachment workflow

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

Anthem clinical criteria updates for specialty pharmacy are available

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Specialty pharmacy updates (MAC)

Drug code billing reminder

Commercial reimbursement policy update to Modifier 66: Surgical Teams (Professional)

Policy Update: Modifier Rules (Professional) (MAC)

Reimbursement policy update Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional)

OBRA 93 claim filing for Federal Employee Program

Prior authorization requirement changes effective December 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

Enhancing claims attachment processes through digital applications

Policy Update — Modifiers 25 and 57: Evaluation and Management with Global Procedures

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification List

Keep up with Medicare news

GeorgiaProvider Communications

September 2022 Anthem Provider News - Georgia

Georgia
Provider Communications