Georgia
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

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

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

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

Reimbursement for convenience surgical supply kits (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Frequency Editing reimbursement policy update (Professional)

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

Scope of License reimbursement policy update (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

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

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

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

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

Reimbursement policy reminder: readmission (facility)

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

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

Material adverse change (MAC)

December 2022 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2022

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

Reimbursement policy update: Bundled Services and Supplies (Professional)

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

Frequency Editing (Professional)

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

Reimbursement policy update: DRG Newborn Inpatient Stays (Facility)

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

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 – Ambulance Transportation (Professional)

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

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 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

Outpatient facility revenue code billing requirements

January 2023 Anthem Provider News - Georgia Reimbursement Policies Dec 30, 2022

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

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

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional (MAC)

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

Bundled Services and Supplies - Professional (MAC)

Material adverse change (MAC)

April 2023 Provider News - Georgia Reimbursement Policies Mar 31, 2023

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

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

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

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

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

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: Frequency Editing (Professional)

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

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

Reimbursement policy update: Professional Anesthesia Services (Professional)

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

Place of Service Reimbursement Policy update (Professional)

October 2019 Provider News Reimbursement Policies Oct 1, 2019

Reimbursement policy update: Emergency Room Transfers (Facility)

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

Observation Services or Hours Billing reimbursement policy update (Facility)

October 2019 Provider News Reimbursement Policies Oct 1, 2019

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

February 2021 Anthem Provider News - Georgia Reimbursement Policies Feb 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 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

Professional reimbursement policy updates

August 2018 BCBSGa Provider Newsletter Reimbursement Policies Jul 31, 2018

Reimbursement policy update: Drug Screen Testing (Professional)

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

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

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

October 2021 Anthem Provider News - Georgia Reimbursement Policies Oct 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 clarification: Claims Requiring Additional Documentation (facility)

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

Reimbursement policy update: Consultations (professional)

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

Reimbursement policy update: Modifiers 25 and 57 - Professional

March 2023 Anthem Provider News - Georgia Reimbursement Policies Mar 1, 2023

Reimbursement policy update: Multiple and Bilateral Surgery Processing (Professional)

October 2022 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional

April 2023 Provider News - Georgia Reimbursement Policies Mar 31, 2023

Reimbursement policy update: Three-Dimensional (3D) Radiology Services (Professional & Facility)

October 2022 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2022

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

September 2022 Anthem Provider News - Georgia Reimbursement Policies Sep 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

Reimbursement policy update: claims requiring additional documentation (facility)

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

New reimbursement policy: Transitional Care Management (Professional)

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

Policy Update: Modifier Rules (Professional) (MAC)

Material adverse change (MAC)
September 2022 Anthem Provider News - Georgia Reimbursement Policies Sep 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

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

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

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

Retraction for reimbursement policy: Sexually Transmitted Infections (Professional)

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

Notification Regarding Reimbursement Changes to COVID-19 Vaccine Administration (MAC)

Material adverse change (MAC)

April 2023 Provider News - Georgia Reimbursement Policies Mar 31, 2023

Reimbursement policy update: Virtual Visits (professional and facility)

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

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

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

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

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

Notification of preapproval list changes (December 2018)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

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

Notification of preapproval list changes (February 2019)

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

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

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

MCG care guidelines 24th edition

April 2020 Anthem Provider News - Georgia Policy Updates Apr 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
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