Georgia
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Reimbursement policy update: Sexually Transmitted Infections Testing (Professional) (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Drug Screen Testing (Professional) (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2021

New reimbursement policy update: Inpatient Facility Transfers (Facility) (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2021

New clinical guideline: Home Parenteral Nutrition, effective November 1, 2021

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2021

Transition to AIM Specialty Health Imaging of the heart clinical appropriateness guideline for Computed Tomography to Detect Coronary Artery Calcification

August 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2021

Reimbursement policy update: claims requiring additional documentation (facility)

August 2021 Anthem Provider News - Georgia Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, modifiers 59 and XE, XP, XS, & XU

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Virtual Visits (professional and facility)

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Reimbursement Policies Aug 1, 2021

Georgia Anthem preapproval list change notification 7/1/2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Policy Updates Jul 1, 2021

Medical policy and clinical guideline updates 7/1/2021

July 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2021

New reimbursement policy: Non-Patient Laboratory Services (facility)

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Consultations (professional)

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2021

Updates to AIM advanced imaging clinical appropriateness guideline

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM musculoskeletal program clinical appropriateness guidelines

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2021

Anthem to enhance claim edits for outpatient facility claims

June 2021 Anthem Provider News - Georgia Reimbursement Policies Jun 1, 2021

Update to evaluation and management services correct coding (professional)

June 2021 Anthem Provider News - Georgia Reimbursement Policies Jun 1, 2021

Georgia Anthem preapproval list change notification 5/1/2021

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Policy Updates May 1, 2021

Update to AIM Specialty Health Oncologic Imaging clinical appropriateness guidelines

May 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines May 1, 2021

Clinical guideline update

May 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines May 1, 2021

Reimbursement policy reminder: readmission (facility)

May 2021 Anthem Provider News - Georgia Reimbursement Policies May 1, 2021

Reimbursement policy update: frequency editing (professional)

May 2021 Anthem Provider News - Georgia Reimbursement Policies May 1, 2021

Reimbursement policy update: claims requiring additional documentation (facility)

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Reimbursement Policies May 1, 2021

Medical policy and clinical guideline updates 4/1/2021

April 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Apr 1, 2021

MCG care guidelines 25th edition

Material adverse change (MAC)
April 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Apr 1, 2021

Georgia Anthem preapproval list change notification 3/1/2021

Material adverse change (MAC)
April 2021 Anthem Provider News - Georgia Policy Updates Apr 1, 2021

New Reimbursement policy update: Place of Service Evaluation and Management Place of Service (Facility)

March 2021 Anthem Provider News - Georgia Reimbursement Policies Mar 1, 2021

Reimbursement policy update: Professional Anesthesia Services (Professional)

February 2021 Anthem Provider News - Georgia Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Emergency Room Transfers (Facility)

February 2021 Anthem Provider News - Georgia Reimbursement Policies Feb 1, 2021

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

February 2021 Anthem Provider News - Georgia Reimbursement Policies Feb 1, 2021

Anthem Georgia preapproval list change notification 1/1/2021

January 2021 Anthem Provider News - Georgia Policy Updates Jan 1, 2021

Medical Policy and Clinical Guideline updates 1/1/2021

January 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jan 1, 2021

Reimbursement policy update: Multiple Diagnostic Imaging Procedures (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Frequency Editing (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Modifier Rules (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Unit Frequency Maximum for Drugs and Biologicals (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Evaluation and Management changes 2021

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Outpatient system updates for 2021 (Facility)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Clinic Charges (Facility)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

MCG Care Guidelines 24th Edition customization

January 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jan 1, 2021

Reimbursement policy update: Bundled Services and Supplies (Professional)

December 2020 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2020

Reimbursement policy update: DRG Newborn Inpatient Stays (Facility)

December 2020 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Provider News - Georgia Policy Updates Dec 1, 2020

Updates to AIM Cardiology clinical appropriateness guidelines

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Radiation Oncology clinical appropriateness guideline

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Anthem Georgia preapproval list change notification 11/1/2020

November 2020 Anthem Provider News - Georgia Policy Updates Nov 1, 2020

New reimbursement policy: Documentation Standards for Episodes of Care (Professional)

November 2020 Anthem Provider News - Georgia Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Modifier Rules (Professional)

November 2020 Anthem Provider News - Georgia Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Bundled Services and Supplies (Professional)

November 2020 Anthem Provider News - Georgia Reimbursement Policies Nov 1, 2020

Georgia Medical Policy and Clinical Guideline updates 11/1/2020

November 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Nov 1, 2020

Reimbursement policy update: Emergency Department: Leveling of Evaluation and Management Services (Facility)

October 2020 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2020

Evaluation and management services correct coding (Professional)

October 2020 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Laboratory and Venipuncture (Professional)

October 2020 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Claims Requiring Additional Documentation policy (Facility)

October 2020 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2020

Anthem Georgia preapproval list change notification 9/1/2020

September 2020 Anthem Provider News - Georgia Policy Updates Sep 1, 2020

Reimbursement policy update: Distinct Procedural Services Modifiers 59, XE, XP, XS, XU (Professional)

September 2020 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing (Professional)

September 2020 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2020

Reimbursement Policy Update: Claims requiring additional documentation (Facility)

August 2020 Anthem Provider News - Georgia Policy Updates Aug 1, 2020

Reimbursement Policy Update: Multiple Diagnostic Imaging (Facility)

August 2020 Anthem Provider News - Georgia Policy Updates Aug 1, 2020

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin October 1, 2020

July 2020 Anthem Provider News - Georgia Policy Updates Jul 1, 2020

New MCG 24th Edition Guidelines

July 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2020

Georgia Medical Policy and Clinical Guideline updates 7/1/2020

July 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2020

Anthem Georgia preapproval list change notification 6/1/2020

June 2020 Anthem Provider News - Georgia Policy Updates Jun 1, 2020

Georgia Medical Policy and Clinical Guideline Updates 6/1/2020

June 2020 Anthem Provider News - Georgia Policy Updates Jun 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

June 2020 Anthem Provider News - Georgia Policy Updates Jun 1, 2020

New Reimbursement Policies: Nurse Practitioner and Physician Assistant Services (Professional)

June 2020 Anthem Provider News - Georgia Reimbursement Policies Jun 1, 2020

Anthem Blue Cross and Blue Shield Georgia preapproval list change notification 5/1/2020

May 2020 Anthem Provider News - Georgia Policy Updates May 1, 2020

Reimbursement policy update: Claims requiring additional documentation (Facility)

May 2020 Anthem Provider News - Georgia Policy Updates May 1, 2020

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 04/1/2020

May 2020 Anthem Provider News - Georgia Policy Updates May 1, 2020

MCG care guidelines 24th edition

April 2020 Anthem Provider News - Georgia Policy Updates Apr 1, 2020

Georgia medical policy and clinical guideline updates 2/1/2020

February 2020 Anthem Provider News - Georgia Policy Updates Feb 1, 2020

Georgia preapproval list change notification 2/1/2020

February 2020 Anthem Provider News - Georgia Policy Updates Feb 1, 2020

Pelvic Organ Prolapse Repair clinical guideline update

January 2020 Anthem Provider News - Georgia Policy Updates Jan 1, 2020

Outpatient facility edit implementation

January 2020 Anthem Provider News - Georgia Policy Updates Jan 1, 2020

New Durable Medical Equipment reimbursement policies: Rent to Purchase and Modifiers (Professional)

December 2019 Anthem Provider News - Georgia Policy Updates Dec 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

Georgia preapproval list change notification 11/1/2019

November 2019 GA Provider News Policy Updates Nov 1, 2019

Georgia medical policy and clinical guideline updates 11/1/2019

November 2019 GA Provider News Policy Updates Nov 1, 2019

Place of Service Reimbursement Policy update (Professional)

October 2019 Provider News Reimbursement Policies Oct 1, 2019

Observation Services or Hours Billing reimbursement policy update (Facility)

October 2019 Provider News Reimbursement Policies Oct 1, 2019

New reimbursement policy: Maternity Services and Multiple Delivery (Professional)

September 2019 Anthem Provider News - Georgia Reimbursement Policies Sep 2, 2019

New reimbursement policy: Intensity Modulated Radiation Therapy Planning and Delivery (Professional)

September 2019 Anthem Provider News - Georgia Reimbursement Policies Sep 2, 2019

Reimbursement policy update: claims requiring additional documentation (Facility)

September 2019 Anthem Provider News - Georgia Reimbursement Policies Sep 2, 2019

Anthem’s Georgia preapproval list change notification 9/1/2019

September 2019 Anthem Provider News - Georgia Policy Updates Sep 2, 2019

Bundled Services reimbursement policy update (Professional)

August 2019 Anthem Provider News - Georgia Reimbursement Policies Aug 1, 2019

Frequency Editing reimbursement policy update (Professional)

August 2019 Anthem Provider News - Georgia Reimbursement Policies Aug 1, 2019

Georgia medical policy and clinical guideline updates 8/1/2019

August 2019 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2019

Modifier 79 reminder (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Modifier 63 reminder (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

ICD-10-CM Coding Guidelines and Laterality (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Clinical Validation (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Frequency Editing (Professional)

Anthem June 2019 Provider News - Georgia Reimbursement Policies Jun 1, 2019

New Reimbursement Policy – Ambulance Transportation (Professional)

Anthem June 2019 Provider News - Georgia Reimbursement Policies Jun 1, 2019

GA preapproval list change notification 5/1/2019

Anthem June 2019 Provider News - Georgia Policy Updates Jun 1, 2019
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