Indiana
Provider Communications

June 2022 Anthem Provider News - Indiana

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Title Category

Evaluation and management services for COVID testing - Professional

Administrative

Provider outreach to validate your provider data

Administrative

Forum: Exploring the Intersection of Race and Disability

Administrative

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

Administrative

Updates to edits associated with implants

Administrative

Once-a-year testing is critically important to providing quality diabetes care

Administrative

CAA: Provider directories accuracy is important

Administrative

Updates to AIM musculoskeletal program: Monitored anesthesia care reviews*

*Change to Prior Authorization Requirements
Products & Programs

Opioid overdose deaths: What can we do?

Behavioral Health

Specialty pharmacy updates - June 2022*

*Change to Prior Authorization Requirements
Pharmacy

Medical policy and clinical guideline updates - June 2022*

*Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

Updated guidance on prior authorization requirements for admissions to in-network long-term acute care hospitals (LTACHs)*

*Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

Updates to AIM musculoskeletal clinical appropriateness guidelines*

*Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

Updates to AIM advanced imaging clinical appropriateness guidelines*

*Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

Updates to AIM sleep disorder management clinical appropriateness guidelines*

*Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

*Change to Prior Authorization Requirements
Reimbursement Policies

Process change for Federal Employee Program third-party correspondence requests

Federal Employee Plan (FEP)

Keep up with Medicaid News - June 2022

- Medical policies and clinical utilization management guidelines update
- Prior authorization update for select durable medical equipment (DME) items
Medicaid

New digital provider enrollment tool added to Availity

Medicaid

Keep up with Medicare News - June 2022

Medicare

Evaluation and management services for COVID testing - professional

Medicare

Medical drug benefit clinical criteria updates

Medicare

Medical policies and clinical utilization management guidelines update

Medicare

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Medicare
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