Georgia
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

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

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

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

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

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

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

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

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

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

Material adverse change (MAC)

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

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 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 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 Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

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

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 Cardiac Clinical Appropriateness Guidelines - Material adverse change (MAC)

Material adverse change (MAC)

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

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 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 Sleep Disorder Management 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 Radiation Oncology clinical appropriateness guideline

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

Updates to AIM musculoskeletal surgery clinical appropriateness guidelines

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

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

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

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 of the Abdomen and Pelvis Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

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

Updates to AIM advanced imaging clinical appropriateness guidelines

August 2018 BCBSGa Provider Newsletter Policy Updates Jul 31, 2018

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

Updates to AIM Advanced Imaging clinical appropriateness guideline

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

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

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

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

Update to evaluation and management services correct coding (professional)

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

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

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

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

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

Update to AIM Specialty Health Oncologic Imaging clinical appropriateness guidelines

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

Update to AIM Specialty Health clinical appropriateness guidelines: advanced imaging appropriate use criteria: imaging of the heart

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

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

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

Update to AIM radiation oncology clinical appropriateness guidelines

August 2018 BCBSGa Provider Newsletter Policy Updates Jul 31, 2018

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines

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

Update to AIM clinical appropriateness guidelines

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

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 Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

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

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Georgia.
November 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Nov 1, 2022

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

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

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

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

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

System updates for 2019 (Professional)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Scope of License reimbursement policy update (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Review of Reimbursement Policies – Professional

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

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

Retraction for reimbursement policy: Sexually Transmitted Infections (Professional)

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

Restructure of AIM advanced imaging clinical appropriateness guidelines

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

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

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

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

October 2022 Anthem Provider News - Georgia Reimbursement Policies Oct 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: Multiple Diagnostic Imaging (Facility)

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

Reimbursement policy update: Modifiers 25 and 57 - Professional

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

Reimbursement policy update: Modifier Rules (Professional)(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: Frequency Editing (Professional)

September 2020 Anthem Provider News - Georgia Reimbursement Policies Sep 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

Reimbursement policy update: DRG Newborn Inpatient Stays (Facility)

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

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: 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: 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: Clinic Charges (Facility)

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

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

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

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: Claims requiring additional documentation (Facility)

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

Reimbursement policy update: claims requiring additional documentation (Facility)

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

Reimbursement Policy Update: Claims requiring additional documentation (Facility)

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

Reimbursement policy update: claims requiring additional documentation (facility)

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

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

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

Reimbursement policy update: Virtual Visits (professional and facility)

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 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

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

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 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

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: Professional Anesthesia Services (Professional)

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

Reimbursement policy update: Multiple Surgery - Facility

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

Reimbursement policy update: Multiple Diagnostic Imaging Procedures (Professional)

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

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

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

Reimbursement policy update: Modifier Rules (Professional)

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

Reimbursement policy update: Modifier Rules (Professional)

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

Reimbursement policy update: Laboratory and Venipuncture (Professional)

October 2020 Anthem Provider News - Georgia Reimbursement Policies Oct 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)

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

Reimbursement policy update: Frequency Editing (Professional)

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

Reimbursement policy update: Emergency Room Transfers (Facility)

February 2021 Anthem Provider News - Georgia Reimbursement Policies Feb 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

Reimbursement policy update: Drug Screen Testing (Professional)

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

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: Consultations (professional)

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

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

Reimbursement policy update: Bundled Services and Supplies (Professional)

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

Reimbursement policy update: Bundled Services and Supplies (Professional)

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

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 – Diagnosis-Related Group Newborn Inpatient Stays (Facility)

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

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 - New Pharmaceutical Waste Facility Reimbursement Policy effective September 1, 2018 – Facility

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

Reimbursement policy reminder: readmission (facility)

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