Georgia
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Social determinants of health support expanding GroundGame Health

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Prior authorization requirements for the below codes

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Prior authorization requirements for the below codes

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Provider News - Georgia Medicare Sep 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Provider News - Georgia Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Anthem Provider News - Georgia Medicare Sep 1, 2020

Electronic Claims Submission: Clinical Laboratory Improvement Amendments (CLIA)

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

AIM Musculoskeletal program expansion

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

2020 Medicare risk adjustment provider training

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

Keep up with Medicare news

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News - Georgia State & Federal Jul 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

In-office assessment program

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Reimbursement policy: policy update-unlisted, unspecified or miscellaneous codes

May 2020 Anthem Provider News - Georgia Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News - Georgia Medicare May 1, 2020

Keep up with Medicare news

May 2020 Anthem Provider News - Georgia Medicare May 1, 2020

Medical drug benefit Clinical Criteria updates November 2019

April 2020 Anthem Provider News - Georgia Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Provider News - Georgia Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates December 2019

April 2020 Anthem Provider News - Georgia Medicare Apr 1, 2020

Keep up with Medicare news

April 2020 Anthem Provider News - Georgia Medicare Apr 1, 2020

Provider COVID-19 Update: State Health Benefit Plan

April 2020 Anthem Provider News - Georgia State Health Benefit Plan Mar 27, 2020

Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Important Medicare Advantage Updates.
COVID-19 Information Medicare Mar 25, 2020

Outpatient Rehabilitation Program transition: new prior authorization requirements

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

Personal Home Helper benefit

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

Nonpreferred products and corresponding preferred alternatives

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

Keep up with Medicare news

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News - Georgia Medicare Feb 1, 2020

Reimbursement policy update: Modifier 62: Co-surgeons

February 2020 Anthem Provider News - Georgia Medicare Feb 1, 2020

Keep up with Medicare news

February 2020 Anthem Provider News - Georgia Medicare Feb 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Best practices to help protect your patients by providing medical ID protection

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Keep up with Medicare news

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Georgia Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

December 2019 Anthem Provider News - Georgia Medicare Dec 1, 2019

Reminder to Medicare Advantage providers

December 2019 Anthem Provider News - Georgia Medicare Dec 1, 2019

Keep up with Medicare news

December 2019 Anthem Provider News - Georgia Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 GA Provider News Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 GA Provider News Medicare Nov 1, 2019

Keep up with Medicare news

November 2019 GA Provider News Medicare Nov 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Provider News Medicare Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Provider News Medicare Oct 1, 2019

Update: 2019 risk adjustment provider training

October 2019 Provider News Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Provider News Medicare Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Provider News Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Provider News Medicare Oct 1, 2019

Keep up with Medicare news

October 2019 Provider News Medicare Oct 1, 2019

Coming soon: electronic attachments

September 2019 Anthem Provider News - Georgia Medicare Sep 2, 2019

Clinical criteria updates

September 2019 Anthem Provider News - Georgia Medicare Sep 2, 2019

Customizations to the 23rd edition of the MCG care guidelines

September 2019 Anthem Provider News - Georgia Medicare Sep 2, 2019

Changes to prior authorization requirements

September 2019 Anthem Provider News - Georgia Medicare Sep 2, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News - Georgia Medicare Sep 2, 2019

Keep up with Medicare news

September 2019 Anthem Provider News - Georgia Medicare Sep 2, 2019

Update to Emergency Department Level of E&M Services reimbursement policy

August 2019 Anthem Provider News - Georgia Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Provider News - Georgia Medicare Aug 1, 2019

Prepayment clinical validation review process

August 2019 Anthem Provider News - Georgia Medicare Aug 1, 2019

New Drug Screen Testing reimbursement policy

August 2019 Anthem Provider News - Georgia Medicare Aug 1, 2019

Unspecified diagnosis code update

August 2019 Anthem Provider News - Georgia Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Georgia Medicare Aug 1, 2019

Provider training required for special needs plans

August 2019 Anthem Provider News - Georgia Medicare Aug 1, 2019

Keep up with Medicare news

August 2019 Anthem Provider News - Georgia Medicare Aug 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News - Georgia Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News - Georgia Medicare Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Provider News - Georgia Medicare Jul 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

July 2019 Anthem Provider News - Georgia Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Provider News - Georgia Medicare Jul 1, 2019

Review of professional claims with emergency department level 5 E&M codes

Anthem June 2019 Provider News - Georgia Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

Anthem June 2019 Provider News - Georgia Medicare Jun 1, 2019

Keep up with Medicare news

Anthem June 2019 Provider News - Georgia Medicare Jun 1, 2019

Modifier 63: Procedure performed on infants less than 4 kg: Policy 06-015

Anthem May 2019 Provider News - Georgia Medicare May 1, 2019

Medical records request for risk adjustment

Anthem May 2019 Provider News - Georgia Medicare May 1, 2019

Fall prevention tips

Anthem May 2019 Provider News - Georgia Medicare May 1, 2019

Partial hospitalization services

Anthem May 2019 Provider News - Georgia Medicare May 1, 2019

Keep up with Medicare news

Anthem May 2019 Provider News - Georgia Medicare May 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Provider Newsletter - Georgia Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Georgia Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Provider Newsletter - Georgia Medicare Apr 1, 2019

Dual Eligible Special Needs Plans – provider training required

March 2019 Anthem Provider Newsletter - Georgia Medicare Mar 1, 2019
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