Georgia
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

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

March 2021 - Georgia Reimbursement Policies Mar 1, 2021

Reimbursement policy update: Professional Anesthesia Services (Professional)

February 2021 - Georgia Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Emergency Room Transfers (Facility)

February 2021 - Georgia Reimbursement Policies Feb 1, 2021

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

February 2021 - 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

Georgia medical policy and clinical guideline updates 5/1/2019

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

Clinical guideline (CG-ANC-07) effective July 1, 2019

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

Medical Policy informational notice

Anthem May 2019 Provider News - Georgia Policy Updates May 1, 2019

Reimbursement policy update: Drug Screen Testing (Professional)

Anthem May 2019 Provider News - Georgia Reimbursement Policies May 1, 2019

Notification of preapproval list changes (April 2019)

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

Medical Policy and Clinical Guideline updates 4/1/2019

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

New reimbursement policy: Partial Hospitalization Program and Intensive Outpatient Program Services (Facility)

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

Body Mass Index (BMI) Reimbursement Policy (Facility)

February 2019 Anthem Provider Newsletter - Georgia Reimbursement Policies Feb 1, 2019

Reminder to review ICD-10-CM coding guidelines (Professional)

February 2019 Anthem Provider Newsletter - Georgia Reimbursement Policies Feb 1, 2019

Injectable Substances with Related Injection Services Reimbursement Policy Update (Professional)

February 2019 Anthem Provider Newsletter - Georgia Reimbursement Policies Feb 1, 2019

Notification of preapproval list changes (February 2019)

February 2019 Anthem Provider Newsletter - Georgia Policy Updates Feb 1, 2019

New Autism codes effective January 1, 2019

January 2019 Anthem Provider Newsletter - Georgia Policy Updates Jan 1, 2019

Medical policy and clinical guideline updates

January 2019 Anthem Provider Newsletter - Georgia Medical Policy & Clinical Guidelines Jan 1, 2019

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 1/1/2019

January 2019 Anthem Provider Newsletter - Georgia Medical Policy & Clinical Guidelines Jan 1, 2019

Notification of preapproval list changes (January 2019)

January 2019 Anthem Provider Newsletter - Georgia Policy Updates Jan 1, 2019

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services (Professional)

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

System updates for 2019 (Professional)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Coding tip: Claims processed with modifier 79 should be reported by the same health care professional

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Bundled services and supplies (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for convenience surgical supply kits (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Scope of License reimbursement policy update (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018
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