Indiana
Provider Communications

November 2021 Anthem Provider News - Indiana

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Title Category

CME credits available in 2021 for a variety of clinical quality webinars - register now!

Administrative

Join Anthem in talking about racism and its impact on health, and earn continuing education credits!

Administrative

Blue High Performance Network name changing for 2022

Administrative

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

Administrative

Change in coverage for continuous glucose monitors for some fully insured groups

Administrative

Time to prepare for HEDIS medical record review

Administrative

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

Administrative

Be Antibiotics Aware: Protect your patient

Administrative

Surprisingly easy ways to help patients quit smoking cigarettes

Administrative

Against medical advice (AMA) discharge physician tracking tool

Digital Tools

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
Digital Tools

Update regarding annual wellness visits for ACA-compliant health plans

Products & Programs

Specialty pharmacy updates are available - November 2021*

*Change to Prior Authorization Requirements
Pharmacy

Important update on Botox for Anthem members

Pharmacy

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

Reimbursement Policies

Keep up with Medicaid News - November 2021

View these Medicaid articles:
- Prior authorization requirement changes effective November 1, 2021
- 2021 affirmative statement concerning utilization management decisions
- Medicaid continuous glucose monitoring systems
Medicaid

Electronic data interchange process

Medicaid

Prenatal Depression Screening and Follow-Up (PND-E) coding bulletin

Medicaid

Get your payments faster when you sign up for electronic funds transfer

Medicaid

Diabetes testing and screening HEDIS measures

Medicaid

Keep up with Medicare News - November 2021

View these Medicare articles:
- Anthem expands specialty pharmacy prior authorization list
- 2021 affirmative statement concerning utilization management decisions
Medicare

Anthem offering Advance Medical Directives program for 2022

Medicare

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medicare

New York City Medicare Advantage announcement

Medicare

Clinical criteria updates

Medicare

Electronic data interchange process

Medicare

Get your payments faster when you sign up for electronic funds transfer

Medicare
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