CommercialApril 1, 2019

April 2019 Anthem Provider Newsletter - Georgia

Administrative

AdministrativeCommercialApril 1, 2019

Provider manual update

AdministrativeCommercialApril 1, 2019

Provider Town Hall schedule 2019

AdministrativeCommercialApril 1, 2019

Exact Sciences Laboratories (Cologuard) is out-of-network for HMO and Blue Open Access POS

AdministrativeCommercialApril 1, 2019

New for Publix members: Applied Behavioral Analysis Therapy benefits effective January 1, 2019

AdministrativeCommercialApril 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

AdministrativeCommercialApril 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

AdministrativeCommercialApril 1, 2019

New on Interactive Care Reviewer: Request Clinical Appeals

AdministrativeCommercialApril 1, 2019

Use the Provider Maintenance Form to update your practice information

AdministrativeCommercialApril 1, 2019

Clinical Practice and Preventive Health guidelines available on the web

Policy Updates

Policy UpdatesCommercialApril 1, 2019

Notification of preapproval list changes (April 2019)

Policy UpdatesCommercialApril 1, 2019

Medical Policy and Clinical Guideline updates 4/1/2019

Policy UpdatesCommercialApril 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

Policy UpdatesCommercialApril 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

Policy UpdatesCommercialApril 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

Policy UpdatesCommercialApril 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines

Policy UpdatesCommercialApril 1, 2019

New reimbursement policy: Partial Hospitalization Program and Intensive Outpatient Program Services (Facility)

Products & Programs

Products & ProgramsCommercialApril 1, 2019

New AIM Rehabilitative program effective July 1, 2019

PharmacyCommercialApril 1, 2019

Anthem expands specialty pharmacy prior authorization list

PharmacyCommercialApril 1, 2019

Pharmacy information available on the web

State & Federal

State & FederalMedicare AdvantageApril 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

State & FederalMedicare AdvantageApril 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

State & FederalMedicare AdvantageApril 1, 2019

Keep up with Medicare news