Georgia
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

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

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

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

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

Electric Boat offers Medicare Advantage options

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

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

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

Prior authorization requirements changes effective November 1, 2019

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

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

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

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

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

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

Dual Eligible Special Needs Plans – provider training required

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

Change to 835 ERA for all D-SNP MA members for 2019

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

Clinical criteria updates for specialty pharmacy

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

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Anthem Blue Cross and Blue Shield Medicare Advantage plan available to City of Atlanta retirees

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - Georgia Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - Georgia Medicare Jan 1, 2019

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Medical Policies updated

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

BCBSGa transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

MA members receive incentives for completing screenings

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

BCBSGa adopts Milliman Care Guidelines for inpatient rehabilitation, subacute rehabilitation and skilled nursing facility clinical reviews

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

DME providers and physicians: important wheelchair prior authorization information

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

Submit PA medication requests electronically; new phone number for MA prescription PAs effective Sept. 1

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective Jan. 1, 2019

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

MyDiversePatients.com addresses health care disparities

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018
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