CommercialAugust 1, 2019
August 2019 Anthem Provider News - Georgia
Administrative
CommercialAugust 1, 2019
Provider Manuals on anthem.comCommercialAugust 1, 2019
Anthem customizations to MCG care guidelines 23rd editionPolicy Updates
CommercialAugust 1, 2019
Georgia medical policy and clinical guideline updates 8/1/2019CommercialAugust 1, 2019
Frequency Editing reimbursement policy update (Professional)CommercialAugust 1, 2019
Bundled Services reimbursement policy update (Professional)Products & Programs
CommercialAugust 1, 2019
Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness GuidelineCommercialAugust 1, 2019
Updates to AIM Radiation Oncology: Proton Beam Therapy clinical appropriateness guidelineCommercialAugust 1, 2019
Updates to AIM Advanced Imaging clinical appropriateness guidelinesCommercialAugust 1, 2019
Pharmacy information available on the webCommercialAugust 1, 2019
Reminder: changes to the process for medical non-oncology specialty drug reviews effective June 15, 2019CommercialAugust 1, 2019
Clinical Criteria and prior authorization updates for specialty pharmacy are availableCommercialAugust 1, 2019
National Drug Code requirement on outpatient claimsState & Federal
Medicare AdvantageAugust 1, 2019
Keep up with Medicare newsMedicare AdvantageAugust 1, 2019
Provider training required for special needs plansMedicare AdvantageAugust 1, 2019
AIM Specialty Health programs may require documentationMedicare AdvantageAugust 1, 2019
Unspecified diagnosis code updateMedicare AdvantageAugust 1, 2019
New Drug Screen Testing reimbursement policyMedicare AdvantageAugust 1, 2019
Prepayment clinical validation review processMedicare AdvantageAugust 1, 2019
New service types added to AvailityMedicare AdvantageAugust 1, 2019
Update to Emergency Department Level of E&M Services reimbursement policyTo view this publication online:
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