CommercialAugust 1, 2021

August 2021 Anthem Provider News - Georgia

Administrative

AdministrativeCommercialAugust 1, 2021

Register now for our August CME webinars!

AdministrativeCommercialAugust 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)
3072F: new language about two-year compliance.

Policy Updates

Medical Policy & Clinical GuidelinesCommercialAugust 1, 2021

New clinical guideline: Home Parenteral Nutrition, effective November 1, 2021
Material adverse change (MAC)

Reimbursement PoliciesCommercialAugust 1, 2021

Reimbursement policy update: Virtual Visits (professional and facility)
Material adverse change (MAC)

Reimbursement PoliciesCommercialAugust 1, 2021

Reimbursement policy update: Distinct Procedural Service, modifiers 59 and XE, XP, XS, & XU
Material adverse change (MAC)

Products & Programs

Products & ProgramsCommercialAugust 1, 2021

Updated AIM musculoskeletal program effective November 1, 2021: site of care reviews
Material adverse change (MAC)

Federal Employee Program (FEP)CommercialAugust 1, 2021

Change in email submission of service requests for Federal Employee Program® members
Material adverse change (MAC)

PharmacyCommercialAugust 1, 2021

August 2021 updates for specialty pharmacy are available
Material adverse change (MAC): prior authorization updates

PharmacyCommercialAugust 1, 2021

Pharmacy information available on anthem.com

State & Federal

State & FederalMedicare AdvantageAugust 1, 2021

Keep up with Medicare news
Medicare Advantage

State & FederalMedicare AdvantageAugust 1, 2021

Preventing claims denials: shingles vaccine
Medicare Advantage