Georgia
Provider Communications

Articles Month: July 2021

Title Publication Category Date

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!

Clinical Quality CME Webinar Series Continues - Georgia Administrative Jul 29, 2021

Continuing Medical Education (CME) webinar series

July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for international normalized ratio

July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Another mark of the pandemic: an increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors.
July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

We want to help.
July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviews

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

Back pain guide program effective July 19, 2021

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News - Georgia Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News - Georgia Digital Tools Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Georgia Anthem preapproval list change notification 7/1/2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Policy Updates Jul 1, 2021

Medical policy and clinical guideline updates 7/1/2021

July 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2021

New reimbursement policy: Non-Patient Laboratory Services (facility)

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Consultations (professional)

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2021

New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Let’s Vaccinate

Medicare Advantage: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

March 2021 medical drug benefit clinical criteria updates

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patients

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patients

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Keep up with Medicare news

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021
Page 1 of 1