Georgia
Provider Communications

Articles Month: December 2018

Title Publication Category Date

HEDIS® 2018 commercial results are in

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Use the Provider Maintenance Form to update your practice information

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Clinical Practice and Preventive Health guidelines available on the web

December 2018 BCBSGa Provider Newsletter Administrative Dec 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

Benefit change for Infliximab for Federal Employee Program

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

BCBSGa accepts electronic prior authorization requests for prescription medications online

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

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

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

System updates for 2019 (Professional)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Coding tip: Claims processed with modifier 79 should be reported by the same health care professional

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 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

Updates to AIM musculoskeletal surgery clinical appropriateness guidelines

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

Update to AIM clinical appropriateness guidelines

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

Restructure of AIM advanced imaging clinical appropriateness guidelines

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

Notification of preapproval list changes (December 2018)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 12/1/2018

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

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

Keep up with Medicare news

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

About our Network eUPDATE email tool

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

2019 BCBSGa provider Town Hall meeting schedule

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Company works to simplify payment recovery process for National Accounts membership

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Request an appeal using Interactive Care Reviewer (ICR)

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits patients and physicians

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Coordination of care

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Important information about utilization management

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Members’ rights and responsibilities

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) certified shared decision making aid available on the web

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

2019 FEP Benefit information available online

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018
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