April 1, 2019
April 2019 Anthem Provider Newsletter - Indiana
Filter By: AllCommercial
Administrative
CommercialApril 1, 2019
Notice of Changes to Prior Authorization Requirements: April 2019CommercialApril 1, 2019
New on Interactive Care Reviewer (ICR): Request Clinical AppealsCommercialApril 1, 2019
UM Process Change: Courtesy approval determination notificationsCommercialApril 1, 2019
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services providedCommercialApril 1, 2019
Why do patients stop taking their prescribed medications and what can you do to help them?Policy Updates
CommercialApril 1, 2019
Medical Policy and Clinical Guidelines Updates - April 2019*CommercialApril 1, 2019
Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*CommercialApril 1, 2019
Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*CommercialApril 1, 2019
Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*CommercialApril 1, 2019
Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*Products & Programs
CommercialApril 1, 2019
New AIM Rehabilitative program effective July 1, 2019CommercialApril 1, 2019
Anthem expands specialty pharmacy prior authorization list*CommercialFebruary 1, 2019
Pharmacy information available at anthem.comState & Federal
Medicare AdvantageApril 1, 2019
Update regarding evaluation and management with modifier 25Medicare AdvantageApril 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage membersMedicare AdvantageApril 1, 2019
Keep up with Medicare news - April 2019Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2019
Correction: Cervical length measurement by transvaginal ultrasoundHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2019
Coding Spotlight: Cancer - A provider’s guide to properly code cancersHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2019
Access patient-specific drug benefit information through electronic medical recordsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2019
Practitioners’ rights during credentialing processHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2019
Provider surveysHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingApril 1, 2019
Update: Evaluation and management with Modifier 25To view this publication online:
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