Indiana
Provider Communications

July 2021 Anthem Provider News - Indiana

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Title Category

Register now to learn strategies to help you and your practice improve clinical quality

Administrative

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

Administrative

Proper coding for in-home monitoring can make a measurable difference for INR

Administrative

Another mark of the pandemic: An increase in childhood obesity

Administrative

How to enroll in electronic fund transfer (EFT) for faster remittance

Digital Tools

Electronic claim response files

Digital Tools

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

Digital Tools

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

Products & Programs

Reminder: Back Pain Guide program effective July 19, 2021

Products & Programs

Update: Site of care medical necessity reviews for long-acting colony-stimulating factors not implemented on June 1, 2021*

*Change to Prior Authorization Requirements
Pharmacy

Designated specialty pharmacy network updates effective October 1, 2021*

*Change to Prior Authorization Requirements
Pharmacy

Updates for specialty pharmacy are available - July 2021*

*Change to Prior Authorization Requirements
Pharmacy

Certain specialty medication prior authorization requests may require additional documentation*

*Change to Prior Authorization Requirements
Pharmacy

Medical Policy and Clinical Guideline Updates - July 2021*

*Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

Reminder: Updated AIM rehabilitative program effective August 1, 2021 - Site of service reviews

Medical Policy & Clinical Guidelines

New reimbursement policy: Non-patient laboratory services - Facility*

*Change to Prior Authorization Requirements
Reimbursement Policies

Reimbursement policy update: Consultations - Professional*

IN: *Change to Prior Authorization Requirements
Reimbursement Policies

Medicaid News - July 2021

View these Medicaid articles:
- Aspire Health for members in need of palliative care
- August 2020 Medical Policies and Clinical Utilization Management Guidelines update
Medicaid

Continuing medical education/continuing education unit opportunities

Medicaid

Provider education program survey: Your Voice Counts

Medicaid

New reimbursement policy: Modifier 90: Reference (outside) laboratory and pass-through billing

Medicaid

Complex Case Management program

Medicaid

Important information about utilization management

Medicaid

Member Rights and Responsibilities Statement

Medicaid

Medicare News - July 2021

View these Medicare articles:
- Prior authorization requirement changes effective September 1, 2021 – UM Authorization Rule Operations Workgroup (AROW) Item 1845
- Provider notification for UM Authorization Rule Operations Workgroup (AROW) Item 1846
Medicare

Let’s Vaccinate

Medicare

Medical drug benefit clinical criteria updates

Medicare

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

Medicare

New reimbursement policy: Modifier 90: Reference (outside) laboratory and pass-through billing

Medicare
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