Georgia
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2022

Reimbursement policy update: Place of Service (Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2022

New reimbursement policy: Transitional Care Management (Professional)

July 2022 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2022

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

Material adverse change (MAC)
July 2022 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections (Professional)

July 2022 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2022

New reimbursement policy: Modifier FB (Professional & Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Laboratory and Venipuncture Services (Professional & Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules (Professional)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2022

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

Material adverse change (MAC)
June 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2022

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

Material adverse change (MAC)
June 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2022

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

Material adverse change (MAC)

June 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2022

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

Material adverse change (MAC)
June 2022 Anthem Provider News - Georgia Reimbursement Policies Jun 1, 2022

Georgia medical policy and clinical guideline updates 4/1/2021

April 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Apr 1, 2022

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Mar 1, 2022

New reimbursement policy: Multiple and Bilateral Surgery Processing (facility) (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Georgia Reimbursement Policies Mar 1, 2022

Clarification to reimbursement policy update: Virtual Visits (professional and facility)

February 2022 Anthem Provider News - Georgia Reimbursement Policies Feb 1, 2022

Georgia medical policy and clinical guideline updates 10/1/2021

January 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jan 1, 2022

Reimbursement policy update: Bundled Services and Supplies and Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU (Professional) (MAC)

January 2022 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2022

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)

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

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)

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

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)

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

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)

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

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional) (MAC)

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

Reimbursement policy update: Virtual Visits (professional and facility)

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams (professional)

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (professional)

November 2021 Anthem Provider News - Georgia Reimbursement Policies Nov 1, 2021

Georgia medical policy and clinical guideline updates 10/1/2021

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

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

October 2021 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2021

Reimbursement policy clarification: Claims Requiring Additional Documentation (facility)

October 2021 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2021

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
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