Georgia
Provider Communications

Articles Month: March 2023

Title Publication Category Date

Expansion of Carelon Medical Benefits Management, Inc. cardiology, genetic testing, and radiology programs effective August 1, 2023 (MAC)

Material adverse change (MAC)

April 2023 Provider News - Georgia Administrative Mar 31, 2023

Enhanced outpatient facility editing for National Correct Coding Initiative

April 2023 Provider News - Georgia Administrative Mar 31, 2023

Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health) (MAC)

Material adverse change (MAC)
April 2023 Provider News - Georgia Administrative Mar 31, 2023

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

April 2023 Provider News - Georgia Administrative Mar 31, 2023

CAA: Maintain your online provider directory information

April 2023 Provider News - Georgia Administrative Mar 31, 2023

Update to Claim Payment Dispute process (MAC)

Material adverse change (MAC)

April 2023 Provider News - Georgia Administrative Mar 31, 2023

Helping to reduce delays when submitting attachments

April 2023 Provider News - Georgia Administrative Mar 31, 2023

Medical Oncology Program ProviderPortal case entry enhancements

April 2023 Provider News - Georgia Administrative Mar 31, 2023

Survey for all skilled nursing facilities

April 2023 Provider News - Georgia Digital Tools Mar 31, 2023

Genetic Testing claim edits

April 2023 Provider News - Georgia Policy Updates Mar 31, 2023

Notification Regarding Reimbursement Changes to COVID-19 Vaccine Administration (MAC)

Material adverse change (MAC)

April 2023 Provider News - Georgia Reimbursement Policies Mar 31, 2023

Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional

April 2023 Provider News - Georgia Reimbursement Policies Mar 31, 2023

Bundled Services and Supplies - Professional (MAC)

Material adverse change (MAC)

April 2023 Provider News - Georgia Reimbursement Policies Mar 31, 2023

Pay Doctor Bill (provider payment option) - General FAQ

April 2023 Provider News - Georgia Products & Programs Mar 31, 2023

Let’s Vaccinate

April 2023 Provider News - Georgia Products & Programs Mar 31, 2023

Pharmacy information available on our provider website

April 2023 Provider News - Georgia Pharmacy Mar 31, 2023

HEDIS 2023 Federal Employee Program medical record request requirements

April 2023 Provider News - Georgia Federal Employee Plan (FEP) Mar 31, 2023

FEP Quality Reimbursement Program update

April 2023 Provider News - Georgia Federal Employee Plan (FEP) Mar 31, 2023

Authorizations for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) services for consumers with individual, group retiree solutions (GRS), and dual-eligible plans from Medicare Advantage

April 2023 Provider News - Georgia Medicare Mar 31, 2023

E-visits

April 2023 Provider News - Georgia Medicare Mar 31, 2023

Keep up with Medicare news

Medicare Advantage
April 2023 Provider News - Georgia Medicare Mar 31, 2023

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

Material adverse change (MAC)
March 2023 Anthem Provider News - Georgia Administrative Mar 1, 2023

New policy for EMR clinical data sharing and ADT notifications (MAC)

Material adverse change
March 2023 Anthem Provider News - Georgia Administrative Mar 1, 2023

Time to prepare for HEDIS medical record review

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

Reimbursement policy update: Modifiers 25 and 57 - Professional

March 2023 Anthem Provider News - Georgia Reimbursement Policies Mar 1, 2023

Clinical Criteria updates for specialty pharmacy are available

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

Clinical Criteria updates for specialty pharmacy

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

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

Specialty pharmacy updates for March 2023 (MAC)

Material adverse change (MAC)

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

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.
March 2023 Anthem Provider News - Georgia Administrative Mar 1, 2023

Provider directory - annual audit for NCQA Accreditation

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

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

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

March is National Colorectal Cancer Awareness Month

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

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

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

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

March 2023 Anthem Provider News - Georgia Products & Programs Mar 1, 2023

Pharmacy information available on our provider website

March 2023 Anthem Provider News - Georgia Pharmacy 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
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