CommercialJuly 1, 2021
July 2021 Anthem Provider News - Georgia
Administrative
CommercialJuly 1, 2021
Continuing Medical Education (CME) webinar seriesCommercialJuly 1, 2021
Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claimsWe want to help.
CommercialJuly 1, 2021
Another mark of the pandemic: an increase in childhood obesityMore potato chips, sugary drinks and less physical activity are key contributors.
CommercialJuly 1, 2021
Proper coding for in-home monitoring can make a measurable difference for international normalized ratioCommercialJuly 1, 2021
Interactive Care Reviewer (ICR): New search option for cases submitted through ICRCommercialJuly 1, 2021
Electronic claim response filesPolicy Updates
CommercialJuly 1, 2021
Georgia Anthem preapproval list change notification 7/1/2021Material adverse change (MAC)
CommercialJuly 1, 2021
Medical policy and clinical guideline updates 7/1/2021CommercialJuly 1, 2021
Reimbursement policy update: Consultations (professional)Material adverse change (MAC)
CommercialJuly 1, 2021
New reimbursement policy: Non-Patient Laboratory Services (facility)Material adverse change (MAC)
Products & Programs
CommercialJuly 1, 2021
Back pain guide program effective July 19, 2021CommercialJuly 1, 2021
REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviewsCommercialJuly 1, 2021
Company to retire Blue Precision program at the end of the yearCommercialJuly 1, 2021
June 2021 updates for specialty pharmacy are availableMaterial adverse change (MAC)
CommercialJuly 1, 2021
Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021Material adverse change (MAC)
State & Federal
Medicare AdvantageJuly 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patientsMedicare Advantage
Medicare AdvantageJuly 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patientsMedicare Advantage
Medicare AdvantageJuly 1, 2021
March 2021 medical drug benefit clinical criteria updatesMedicare Advantage
Medicare AdvantageJuly 1, 2021
Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428Medicare Advantage
Medicare AdvantageJuly 1, 2021
Let’s VaccinateMedicare Advantage: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
Medicare AdvantageJuly 1, 2021
New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billingMedicare Advantage
To view this publication online:
Visit https://providernews.anthem.com/georgia/publications/july-2021-anthem-provider-news-georgia-998
Or scan this QR code with your phone