Georgia
Provider Communications

Articles

Title Publication Category Date

Provider COVID-19 update: State Health Benefit Plan

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

Federal Employee Program® (FEP) paper claims and claims related correspondence mailing address

August 2018 BCBSGa Provider Newsletter State & Federal Jul 31, 2018

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

2021 FEP® Benefit information available online

January 2021 Anthem Provider News - Georgia State & Federal Jan 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

Federal Employee Program® (FEP)
April 2021 Anthem Provider News - Georgia State & Federal Apr 1, 2021

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Georgia State & Federal Jun 1, 2021

Professional reimbursement policy updates

August 2018 BCBSGa Provider Newsletter Reimbursement Policies Jul 31, 2018

New reimbursement policy: readmissions (Facility)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

New reimbursement policy: Revenue Code Billing (Facility)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Claims Requiring Additional Documentation reimbursement policy update (Facility)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Assistant Surgeon Coding update (professional)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Documentation and Reporting Guidelines for E/M Services update (professional)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Routine Obstetrical Services update (professional)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Bundled services and supplies (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for convenience surgical supply kits (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Scope of License reimbursement policy update (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Provider Newsletter - Georgia Reimbursement Policies Jan 1, 2019

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

Reimbursement policy update: Drug Screen Testing (Professional)

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

Frequency Editing (Professional)

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

New Reimbursement Policy – Ambulance Transportation (Professional)

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

Bundled Services reimbursement policy update (Professional)

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

Frequency Editing reimbursement policy update (Professional)

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

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

Place of Service Reimbursement Policy update (Professional)

October 2019 Provider News Reimbursement Policies Oct 1, 2019

Observation Services or Hours Billing reimbursement policy update (Facility)

October 2019 Provider News Reimbursement Policies Oct 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 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: 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

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

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: Bundled Services and Supplies (Professional)

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

Reimbursement policy update: DRG Newborn Inpatient Stays (Facility)

December 2020 Anthem Provider News - Georgia Reimbursement Policies Dec 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: 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: 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

Reimbursement policy update: Emergency Room Transfers (Facility)

February 2021 Anthem Provider News - Georgia Reimbursement Policies Feb 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

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

Reimbursement policy reminder: readmission (facility)

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

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

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

Update to claim processing for services requiring AIM prior authorization

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

BCBSGa expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

BCBSGa’s Individualized Care Program to support palliative care for commercial members

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

Additional support available for members with rare conditions

August 2018 BCBSGa Provider Newsletter Products & Programs Jul 31, 2018

Notice about the PAR Network

October 2018 BCBSGa Provider Newsletter Products & Programs Oct 1, 2018

BCBSGa Community Care Coordination expands relationship with Preferred Community Health Partners to support commercial members with complex needs

October 2018 BCBSGa Provider Newsletter Products & Programs Oct 1, 2018

BCBSGa fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 BCBSGa Provider Newsletter Products & Programs Oct 1, 2018

Introducing SmartShopper, the consumer shopping and savings program for medical care

SmartShopper is an incentive and engagement program that activates members to change behavior and shop for health care.
December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

Case Management Program

December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

ConditionCare Program benefits patients and physicians

December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

Anthem Commercial Risk Adjustment (CRA) Program update: Medical chart collection for ACA members due March 31, 2019 at the latest

March 2019 Anthem Provider Newsletter - Georgia Products & Programs Mar 1, 2019

New AIM Rehabilitative program effective July 1, 2019

April 2019 Anthem Provider Newsletter - Georgia Products & Programs Apr 1, 2019

Reminder and update: new Rehabilitative Program effective September 1, 2019

Anthem June 2019 Provider News - Georgia Products & Programs Jun 1, 2019

CORRECTION: Reminder and update: new Rehabilitative Program effective July 1, 2019

July 2019 Anthem Provider News - Georgia Products & Programs Jul 1, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019 Products & Programs Jul 3, 2019

UPDATE: new Rehabilitative Program remains temporarily delayed

UPDATE: new Rehabilitative Program remains temporarily delayed Products & Programs Jul 16, 2019

Updates to AIM Advanced Imaging clinical appropriateness guidelines

August 2019 Anthem Provider News - Georgia Products & Programs Aug 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy clinical appropriateness guideline

August 2019 Anthem Provider News - Georgia Products & Programs Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Georgia Products & Programs Aug 1, 2019

Update: new AIM Rehabilitative Program will begin November 1, 2019

October 2019 Provider News Products & Programs Oct 1, 2019

Reminder: new AIM Rehabilitative Program effective November 1, 2019

November 2019 GA Provider News Products & Programs Nov 1, 2019

CORRECTION: New AIM Musculoskeletal Program will begin "December 1, 2019"

November 2019 GA Provider News Products & Programs Nov 1, 2019

REMINDER: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Provider News - Georgia Products & Programs Dec 1, 2019

Case Management Program

December 2019 Anthem Provider News - Georgia Products & Programs Dec 1, 2019

CORRECTION: New AIM Musculoskeletal Program will begin "December 2, 2019"

December 2019 Anthem Provider News - Georgia Products & Programs Dec 1, 2019

New Musculoskeletal and Pain Management Solution effective for select national ASO accounts January 1, 2020

January 2020 Anthem Provider News - Georgia Products & Programs Jan 1, 2020

Updates to AIM Musculoskeletal Program clinical appropriateness guidelines

February 2020 Anthem Provider News - Georgia Products & Programs Feb 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guidelines

February 2020 Anthem Provider News - Georgia Products & Programs Feb 1, 2020

Anthem Commercial Risk Adjustment (CRA) prospective program update: Assessing your patients for risk adjustable conditions

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM Sleep Disorder Management clinical appropriateness guideline

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery clinical appropriateness guidelines

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Anthem Commercial Risk Adjustment (CRA) program update: retrospective program begins; prospective program continues

June 2020 Anthem Provider News - Georgia Products & Programs Jun 1, 2020

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

July 2020 Anthem Provider News - Georgia Products & Programs Jul 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Anthem Provider News - Georgia Products & Programs Aug 1, 2020

Resources to support diverse patients and communities

August 2020 Anthem Provider News - Georgia Products & Programs Aug 1, 2020

Site of care* medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020

September 2020 Anthem Provider News - Georgia Products & Programs Sep 1, 2020

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Anthem Provider News - Georgia Products & Programs Sep 1, 2020

REMINDER: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Georgia Products & Programs Oct 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed to December 1, 2020

October 2020 Anthem Provider News - Georgia Products & Programs Oct 1, 2020
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