Georgia
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Review of professional claims with emergency department level 5 E&M codes

Anthem June 2019 Provider News - Georgia Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

Anthem June 2019 Provider News - Georgia Medicare Jun 1, 2019

Keep up with Medicare news

Anthem June 2019 Provider News - Georgia Medicare Jun 1, 2019

Modifier 63: Procedure performed on infants less than 4 kg: Policy 06-015

Anthem May 2019 Provider News - Georgia Medicare May 1, 2019

Medical records request for risk adjustment

Anthem May 2019 Provider News - Georgia Medicare May 1, 2019

Fall prevention tips

Anthem May 2019 Provider News - Georgia Medicare May 1, 2019

Partial hospitalization services

Anthem May 2019 Provider News - Georgia Medicare May 1, 2019

Keep up with Medicare news

Anthem May 2019 Provider News - Georgia Medicare May 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Provider Newsletter - Georgia Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Georgia Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Provider Newsletter - Georgia Medicare Apr 1, 2019

Dual Eligible Special Needs Plans – provider training required

March 2019 Anthem Provider Newsletter - Georgia Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - Georgia Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Georgia Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - Georgia Medicare Mar 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Anthem Blue Cross and Blue Shield Medicare Advantage plan available to City of Atlanta retirees

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - Georgia Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - Georgia Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Provider Newsletter - Georgia Medicaid Jan 1, 2019

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Medical Policies updated

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

BCBSGa transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

Federal Employee Program® (FEP) paper claims and claims related correspondence mailing address

August 2018 BCBSGa Provider Newsletter State & Federal Jul 31, 2018

MA members receive incentives for completing screenings

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

BCBSGa adopts Milliman Care Guidelines for inpatient rehabilitation, subacute rehabilitation and skilled nursing facility clinical reviews

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

DME providers and physicians: important wheelchair prior authorization information

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

Submit PA medication requests electronically; new phone number for MA prescription PAs effective Sept. 1

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective Jan. 1, 2019

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

MyDiversePatients.com addresses health care disparities

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

Keep up with Medicare news

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

Cologuard covered for Medicare Advantage

June 2018 BCBSGa Provider Newsletter Medicare Jun 14, 2018

Peer-to-peer process can help clarify clinical record

June 2018 BCBSGa Provider Newsletter Medicare Jun 14, 2018

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

June 2018 BCBSGa Provider Newsletter Medicare Jun 14, 2018

MA home health network to be delegated to myNEXUS

June 2018 BCBSGa Provider Newsletter Medicare Jun 14, 2018

Medication adherence incentive offered to EPHC providers

June 2018 BCBSGa Provider Newsletter Medicare Jun 14, 2018

Keep up with Medicare news

June 2018 BCBSGa Provider Newsletter Medicare Jun 14, 2018
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