CommercialDecember 30, 2022
January 2023 Anthem Provider News - Indiana
Administrative
CommercialDecember 30, 2022
Professional system updates for 2023CommercialDecember 30, 2022
Remittance advice message enhancements: Providing clear descriptions and actionable next stepsCommercialMedicare AdvantageDecember 30, 2022
Notification regarding reimbursement changes to COVID-19 laboratory services codesCommercialDecember 30, 2022
Outpatient system updates for 2023CommercialMedicare AdvantageDecember 30, 2022
Childhood Immunization Status and Lead Screening in Children for HEDISPolicy Updates
CommercialDecember 30, 2022
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update*CommercialDecember 30, 2022
Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines*CommercialMedicare AdvantageDecember 30, 2022
Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines*CommercialDecember 30, 2022
Change to Prior Authorization Requirements
Updates to AIM Specialty Health Cardiac Clinical Appropriateness GuidelinesCommercialMedicare AdvantageDecember 30, 2022
Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines*CommercialDecember 30, 2022
Outpatient facility revenue code billing requirementsProducts & Programs
CommercialDecember 30, 2022
Federal Employee Program observation conversion for musculoskeletal cases*CommercialDecember 30, 2022
Specialty pharmacy updates - January 2023*State & Federal
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 30, 2022
Guidance for coding evaluation and management services for new and established patientsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 30, 2022
Attention physicians and lab providers: COVID-19 update regarding reimbursementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 30, 2022
Keep up with Medicaid News - January 2023- Prior Authorization Updates for Medications Billed Under the Medical Benefit (Vabysmo)
Medicare AdvantageDecember 30, 2022
Cleveland-Cliffs offers Medicare Advantage optionMedicare AdvantageDecember 30, 2022
Keep up with Medicare news - January 2023- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
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