CommercialJuly 1, 2022

July 2022 Anthem Provider News - Indiana

Policy Updates

Reimbursement PoliciesCommercialJuly 1, 2022

New reimbursement policy: Modifier FB - Professional and Facility*
*Change to Prior Authorization Requirements

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59, XE, XP, XS, XU - professional*
*Change to Prior Authorization Requirements

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Place of Service - Facility*
*Change to Prior Authorization Requirements

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Laboratory and venipuncture services - professional and facility*
*Change to Prior Authorization Requirements

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Modifier Rules - Professional*
*Change to Prior Authorization Requirements

Reimbursement PoliciesCommercialJuly 1, 2022

New reimbursement policy: Transitional Care Management - professional

State & Federal

State & FederalMedicare AdvantageJuly 1, 2022

New digital provider enrollment tool added to Availity

State & FederalMedicare AdvantageJuly 1, 2022

Cancer Care Navigator

State & FederalMedicare AdvantageJuly 1, 2022

Keep up with Medicare News - July 2022
- New specialty pharmacy medical step therapy requirements

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2022

Evaluation and management services for COVID testing - professional

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2022

Keep up with Medicaid News - July 2022
- Billing for non-reimbursable implantable DME devices