Georgia
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

6/01/18 Notification of Preapproval List Changes (Including Non-AIM and moving to AIM)

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material adverse change (MAC)
December 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 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

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

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

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 12/1/2018

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

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

Anthem expands hospice policy

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

Anthem Georgia preapproval list change notification 1/1/2021

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

Anthem Georgia preapproval list change notification 11/1/2020

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

Anthem Georgia preapproval list change notification 6/1/2020

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

Anthem Georgia preapproval list change notification 9/1/2020

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

Anthem to enhance claim edits for outpatient facility claims

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

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

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

Archived medical policy

August 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Jul 31, 2018

BCBSGa Adopts MCG Care Guidelines for Behavioral Health Services

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

Body Mass Index (BMI) Reimbursement Policy (Facility)

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

Bundled services and supplies (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Bundled Services reimbursement policy update (Professional)

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

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

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

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

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

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

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

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

Clinical guideline update

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

Clinical Validation (Professional)

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

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

Commercial reimbursement policy update to Modifier 66: Surgical Teams (Professional)

September 2022 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2022

Correction to reimbursement policy: Place of Service (Facility)(MAC)

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

CORRECTION: Georgia Medical Policy and Clinical Guideline updates July 1, 2022

CORRECTION: Georgia Medical Policy and Clinical Guideline updates July 1, 2022 Medical Policy & Clinical Guidelines Aug 4, 2022

Coverage Guideline not implemented - Cervical Cancer Screening Using Cytology and Human Papillomavirus Testing (CG-MED-53)

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

Effective date guidelines change

November 1, 2018 BCBSGa Network eUPDATE Medical Policy & Clinical Guidelines Nov 1, 2018

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

Evaluation and Management changes 2021

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

Evaluation and management services correct coding (Professional)

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

Frequency Editing (Professional)

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

Frequency Editing reimbursement policy update (Professional)

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

GA preapproval list change notification 5/1/2019

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

Georgia Anthem preapproval list change notification 3/1/2021

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

Georgia Anthem preapproval list change notification 7/1/2021

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

Georgia Medical Policy and Clinical Guideline updates

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

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

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

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

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

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

November 2019 GA Provider News Policy Updates Nov 1, 2019

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

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

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

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

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

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

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

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

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

June 2020 Anthem Provider News - Georgia Policy Updates Jun 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

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

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

Georgia Medical Policy and Clinical Guideline updates July 1, 2022

August 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2022

Georgia Medical Policy and Clinical Guideline updates October 1, 2022

October 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Oct 1, 2022

Georgia preapproval list change notification 11/1/2019

November 2019 GA Provider News Policy Updates Nov 1, 2019

Georgia preapproval list change notification 2/1/2020

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

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

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

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

Important billing update for professional delivery claims

August 2018 BCBSGa Provider Newsletter Policy Updates Jul 31, 2018

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

November 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Nov 1, 2022

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

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

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

MCG care guidelines 24th edition

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

MCG Care Guidelines 24th Edition customization

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

MCG care guidelines 25th edition

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

Medical policy and clinical guideline updates

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

Medical Policy and Clinical Guideline updates 1/1/2021

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

Medical policy and clinical guideline updates 10/1/2018

October 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Medical Policy and Clinical Guideline Updates 4/1/2018

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

Medical Policy and Clinical Guideline updates 4/1/2019

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

Medical policy and clinical guideline updates 4/1/2021

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

Medical policy and clinical guideline updates 7/1/2021

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

Medical policy and clinical guideline updates 8/1/2018

August 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Jul 31, 2018

Medical Policy informational notice

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

Modifier 63 reminder (Professional)

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

Modifier 79 reminder (Professional)

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

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Oct 1, 2022

New Autism codes effective January 1, 2019

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

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

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

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

New MCG 24th Edition Guidelines

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

New prior authorization requirement for EGD services begins November 1, 2018

August 2018 BCBSGa Provider Newsletter Policy Updates Jul 31, 2018

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

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

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

March 2021 Anthem Provider News - Georgia Reimbursement Policies Mar 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

New Reimbursement Policy – Ambulance Transportation (Professional)

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

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

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

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

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

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

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

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

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

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

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

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

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

New reimbursement policy: Transitional Care Management (Professional)

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

Notification of preapproval list changes

October 2018 BCBSGa Provider Newsletter Policy Updates Oct 1, 2018

Notification of preapproval list changes (April 2019)

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

Notification of preapproval list changes (December 2018)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Notification of preapproval list changes (February 2019)

February 2019 Anthem Provider Newsletter - Georgia Policy Updates Feb 1, 2019
Page 1 of 3 Next Page