Georgia
Provider Communications

Articles Month: August 2021

Title Publication Category Date

Important COVID-19 update: Prior authorization and other policy adjustments (updated August 23, 2021)

We recently updated prior authorization requirements for acute in-patient admission and for urgent or emergency acute in-patient surgeries as well as patient transfers from acute in-patients hospitals to additional sites of services.
COVID-19 Information Administrative Aug 23, 2021

Information from Anthem for Care Providers about COVID-19 (updated August 2, 2021)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information Administrative Aug 2, 2021

Telehealth visits can impact after hospitalization follow-up care for mental illness

August 2021 Anthem Provider News - Georgia Administrative Aug 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

3072F: new language about two-year compliance.
August 2021 Anthem Provider News - Georgia Administrative Aug 1, 2021

Some physician requests to AIM may require the submission of documentation to support attestations for prior authorization

August 2021 Anthem Provider News - Georgia Administrative Aug 1, 2021

Register now for our August CME webinars!

August 2021 Anthem Provider News - Georgia Administrative Aug 1, 2021

Digital scheduling feature in the Availity portal: the Appointment Scheduler application

August 2021 Anthem Provider News - Georgia Digital Tools Aug 1, 2021

Updated AIM musculoskeletal program effective November 1, 2021: site of care reviews

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Products & Programs Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

August 2021 updates for specialty pharmacy are available

Material adverse change (MAC): prior authorization updates
August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

New clinical guideline: Home Parenteral Nutrition, effective November 1, 2021

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2021

Transition to AIM Specialty Health Imaging of the heart clinical appropriateness guideline for Computed Tomography to Detect Coronary Artery Calcification

August 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2021

Reimbursement policy update: claims requiring additional documentation (facility)

August 2021 Anthem Provider News - Georgia Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, modifiers 59 and XE, XP, XS, & XU

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

Reimbursement policy update: Virtual Visits (professional and facility)

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

Change in email submission of service requests for Federal Employee Program® members

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Federal Employee Plan (FEP) Aug 1, 2021

Preventing claims denials: shingles vaccine

Medicare Advantage
August 2021 Anthem Provider News - Georgia Medicare Aug 1, 2021

Keep up with Medicare news

Medicare Advantage
August 2021 Anthem Provider News - Georgia Medicare Aug 1, 2021
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