CommercialDecember 1, 2021
December 2021 Anthem Provider News - Georgia
Administrative
CommercialDecember 1, 2021
Important information about utilization managementCommercialDecember 1, 2021
Importance of PCP after-hours messagingCommercialDecember 1, 2021
Behavioral healthcare appointment access requirementsCommercialDecember 1, 2021
Chlamydia is asymptomatic. Only through screening will we know for sure.CommercialDecember 1, 2021
Outpatient system updates for 2022CommercialDecember 1, 2021
Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to dateCommercialDecember 1, 2021
Clinical practice and preventive health guidelines available on anthem.comCommercialDecember 1, 2021
Professional system updates for 2022CommercialDecember 1, 2021
Coordination of careCommercialDecember 1, 2021
Member rights and responsibilitiesCommercialDecember 1, 2021
Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providersPolicy Updates
CommercialDecember 1, 2021
Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)CommercialDecember 1, 2021
Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)CommercialDecember 1, 2021
Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)CommercialDecember 1, 2021
Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)CommercialDecember 1, 2021
New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams (professional)CommercialDecember 1, 2021
RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)CommercialDecember 1, 2021
Reimbursement policy update: Virtual Visits (professional and facility)CommercialDecember 1, 2021
Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional) (MAC)Products & Programs
CommercialDecember 1, 2021
Case Management ProgramCommercialDecember 1, 2021
Updated AIM musculoskeletal program site of care reviews delayedCommercialDecember 1, 2021
Pharmacy information available on anthem.comCommercialDecember 1, 2021
December 2021 specialty pharmacy updates (MAC)CommercialDecember 1, 2021
Anthem Blue Cross and Blue Shield clinical criteria updates for specialty pharmacy are availableState & Federal
Medicare AdvantageDecember 1, 2021
Keep up with Medicare news- Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
- Medical drug benefit Clinical Criteria updates
- Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
- New York City Medicare Advantage announcement
- Medical Policies and Clinical Utilization Management Guidelines update
Medicare AdvantageDecember 1, 2021
Somatus is your resource for kidney care managementMedicare AdvantageDecember 1, 2021
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness GuidelinesMedicare AdvantageDecember 1, 2021
Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodiesMedicare AdvantageDecember 1, 2021
2022 Medicare Advantage service area and benefit updatesTo view this publication online:
Visit https://providernews.anthem.com/georgia/publications/december-2021-anthem-provider-news-georgia-1172
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