Georgia
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update

March 2023 Anthem Provider News - Georgia Medicare Mar 1, 2023

Keep up with Medicare news

Medicare Advantage
March 2023 Anthem Provider News - Georgia Medicare Mar 1, 2023

Annual planned visits

March 2023 Anthem Provider News - Georgia Medicare Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

March 2023 Anthem Provider News - Georgia Medicare Mar 1, 2023

Shared savings and transition care management after inpatient discharges

March 2023 Anthem Provider News - Georgia Medicare Mar 1, 2023

Informational Update Modifier Usage

March 2023 Anthem Provider News - Georgia Medicare Mar 1, 2023

Keep up with Medicare news

Medicare Advantage
February 2023 Anthem Provider News - Georgia Medicare Feb 1, 2023

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

Material adverse change (MAC)

February 2023 Anthem Provider News - Georgia Medicare Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Georgia Medicare Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Georgia Federal Employee Plan (FEP) Feb 1, 2023

Keep up with Medicare news

Medicare Advantage
January 2023 Anthem Provider News - Georgia Medicare Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Federal Employee Plan (FEP) Dec 30, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Georgia Medicare Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Georgia Medicare Dec 1, 2022

Keep up with Medicare news

Medicare Advantage
December 2022 Anthem Provider News - Georgia Medicare Dec 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare Advantage
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Personalized Match

Medicare Advantage
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Keep up with Medicare news

Medicare Advantage
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

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

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Oct 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage

Material adverse change (MAC)

October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

Medicare Advantage

October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage

Material adverse change (MAC)

October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Consultation codes

Medicare Advantage

October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Keep up with Medicare news

Medicare Advantage
October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Prior authorization requirement changes effective December 1, 2022

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification List

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Sep 1, 2022

Keep up with Medicare news

Medicare Advantage

September 2022 Anthem Provider News - Georgia Medicare Sep 1, 2022

Policy Update — Modifiers 25 and 57: Evaluation and Management with Global Procedures

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Aug 31, 2022

Keep up with Medicare news

Medicare Advantage

MCG care guidelines 26th edition

August 2022 Anthem Provider News - Georgia Medicare Aug 1, 2022

Keep up with Medicare news

Medicare Advantage 

New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Georgia Medicare Jul 1, 2022

New! Concierge Cancer Care program for Georgia Federal Employee Program members

July 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Jul 1, 2022

Cancer Care Navigator

Medicare Advantage
July 2022 Anthem Provider News - Georgia Medicare Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

Medicare Advantage
July 2022 Anthem Provider News - Georgia Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

Medicare Advantage
July 2022 Anthem Provider News - Georgia Medicare Jul 1, 2022

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Jun 1, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

Medicare Advantage
June 2022 Anthem Provider News - Georgia Medicare Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare Advantage

June 2022 Anthem Provider News - Georgia Medicare Jun 1, 2022

Medical drug benefit Clinical Criteria updates

Medicare Advantage
June 2022 Anthem Provider News - Georgia Medicare Jun 1, 2022

Provider notice for COVID-19 testing

Medicare Advantage
June 2022 Anthem Provider News - Georgia Medicare Jun 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

Medicare Advantage
June 2022 Anthem Provider News - Georgia Medicare Jun 1, 2022

Keep up with Medicare news

Medicare Advantage

June 2022 Anthem Provider News - Georgia Medicare Jun 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program Live Webinar

Everything you need to know about using CPT II Codes
May 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

Medicare Advantage
May 2022 Anthem Provider News - Georgia Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

Medicare Advantage
May 2022 Anthem Provider News - Georgia Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

Medicare Advantage
May 2022 Anthem Provider News - Georgia Medicare May 1, 2022

Keep up with Medicare news

Medicare Advantage
May 2022 Anthem Provider News - Georgia Medicare May 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

Medicare Advantage
April 2022 Anthem Provider News - Georgia Medicare Apr 1, 2022

Policy Update: Inpatient Readmissions

Medicare Advantage
April 2022 Anthem Provider News - Georgia Medicare Apr 1, 2022

The impact of listening

Medicare Advantage
April 2022 Anthem Provider News - Georgia Medicare Apr 1, 2022

Clinical Criteria updates

Medicare Advantage
April 2022 Anthem Provider News - Georgia Medicare Apr 1, 2022

The Anthem, Inc. name is changing

Medicare Advantage
April 2022 Anthem Provider News - Georgia Medicare Apr 1, 2022

Model of Care required training

Medicare Advantage
April 2022 Anthem Provider News - Georgia Medicare Apr 1, 2022

Keep up with Medicare news

Medicare Advantage
April 2022 Anthem Provider News - Georgia Medicare Apr 1, 2022

Change to the Federal Employee Program® clinical grievance and appeal address

March 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Mar 1, 2022

HEDIS 2022 Federal Employee Program® medical record request requirements

March 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Mar 1, 2022

Annual wellness visits for Medicare Advantage members

Medicare Advantage
March 2022 Anthem Provider News - Georgia Medicare Mar 1, 2022

Pharmacy newsletter

Medicare Advantage
March 2022 Anthem Provider News - Georgia Medicare Mar 1, 2022

Clinical Criteria updates

Medicare Advantage
March 2022 Anthem Provider News - Georgia Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

Medicare Advantage
March 2022 Anthem Provider News - Georgia Medicare Mar 1, 2022

Keep up with Medicare news

Medicare Advantage
March 2022 Anthem Provider News - Georgia Medicare Mar 1, 2022

Get faster payments with EFT

Medicare Advantage
February 2022 Anthem Provider News - Georgia Medicare Feb 1, 2022

Keep up with Medicare news

Medicare Advantage
February 2022 Anthem Provider News - Georgia Medicare Feb 1, 2022

2022 FEP® Benefit information available online

January 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Jan 1, 2022

Availity Authorization app available to Anthem Blue Cross and Blue Shield (Anthem) providers in 2022

Medicare Advantage
January 2022 Anthem Provider News - Georgia Medicare Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

Medicare Advantage
January 2022 Anthem Provider News - Georgia Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

Medicare Advantage
January 2022 Anthem Provider News - Georgia Medicare Jan 1, 2022

Professional claims billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

Medicare Advantage
January 2022 Anthem Provider News - Georgia Medicare Jan 1, 2022

Keep up with Medicare news

Medicare Advantage

January 2022 Anthem Provider News - Georgia Medicare Jan 1, 2022

Non-payment remittance advice enhancements

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Policy Update: Drug Screen Testing

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Somatus is your resource for kidney care management

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Keep up with Medicare news

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Clinical Criteria updates

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Electronic data interchange process

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

New York City Medicare Advantage announcement

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Keep up with Medicare news

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

Sexually Transmitted Infections Testing (Professional)

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

New Medical Step Therapy requirements

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

Keep up with Medicare news

View these Medicare articles: 
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers

Medicare Advantage
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Prior authorization/precertification form notification

Medicare Advantage
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Utilization management authorization rule operations

Medicare Advantage
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Keep up with Medicare news

Medicare Advantage

Clinical criteria updates notification May 2021
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Change in email submission of service requests for Federal Employee Program® members

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Federal Employee Plan (FEP) Aug 1, 2021
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