June 2022 Anthem Provider News - Georgia

Administrative

AdministrativeCommercialJune 1, 2022

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield (“Anthem”) and Motivo* for Anthem providers on June 22, 2022.

AdministrativeCommercialJune 1, 2022

Provider outreach to validate your provider data

AdministrativeCommercialJune 1, 2022

CAA: Provider directories accuracy is important

AdministrativeCommercialJune 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

AdministrativeCommercialJune 1, 2022

Update use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

Behavioral Health

Behavioral HealthCommercialJune 1, 2022

Opioid overdose deaths: What can we do?

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines (MAC)

Material adverse change (MAC)

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines (MAC)

Material adverse change (MAC)

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines (MAC)

Material adverse change (MAC)

Reimbursement PoliciesCommercialJune 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility) (MAC)

Material adverse change (MAC)

Products & Programs

Products & ProgramsCommercialJune 1, 2022

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

Material adverse change (MAC)

Federal Employee Program (FEP)CommercialJune 1, 2022

Process change for Federal Employee Program® third-party correspondence requests

PharmacyCommercialJune 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

PharmacyCommercialJune 1, 2022

June 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)