CommercialJune 1, 2021
June 2021 Anthem Provider News - Indiana
Administrative
CommercialJune 1, 2021
Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study findsCommercialJune 1, 2021
Regular check-ins with your clearinghouse could affect timely filingCommercialJune 1, 2021
Answering your claims questions is easier through chat; secure messaging will sunset soon, start using chat nowCommercialJune 1, 2021
Keep your contact information currentCommercialJune 1, 2021
Two great learning resources on one secure portalCommercialJune 1, 2021
Digital solution options with AvailityCommercialJune 1, 2021
Submit EDI corrected claims via Availity or EDIPolicy Updates
CommercialJune 1, 2021
Continuation of skilled nursing facility (SNF) process in Indiana and OhioCommercialJune 1, 2021
Updates to AIM musculoskeletal program clinical appropriateness guidelines*CommercialJune 1, 2021
Updates to AIM advanced imaging clinical appropriateness guidelines*CommercialJune 1, 2021
Prior authorization for genetic testing medical policy effective September 1, 2021*CommercialJune 1, 2021
New Back Pain Management Program effective July 19, 2021CommercialJune 1, 2021
Medical policy and clinical guideline updates - June 2021*CommercialJune 1, 2021
Reimbursement policy update: Outpatient facility claim editsProducts & Programs
CommercialJune 1, 2021
Let’s vaccinateCommercialJune 1, 2021
DEXA bone scan criteria for the Federal Employee Program®CommercialJune 1, 2021
Pharmacy information available at anthem.comCommercialJune 1, 2021
Updates for specialty pharmacy are available - June 2021*CommercialJune 1, 2021
Designated specialty pharmacy network updatesCommercialJune 1, 2021
Designated specialty pharmacy network: Reminders and contact informationState & Federal
Medicare AdvantageJune 1, 2021
Reimbursement policy reminder: Inpatient readmissionsMedicare AdvantageJune 1, 2021
Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQMedicare AdvantageJune 1, 2021
Medical policies and clinical utilization management guidelines updateMedicare AdvantageJune 1, 2021
Medicare News - June 2021- Anthem working with Optum to collect medical records for risk adjustment
- Medical drug benefit clinical criteria updates
- Updates to the AIM advanced imaging clinical appropriateness guidelines
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2021
Reminder: Behavioral health midlevel providers may not bill E&M services codesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2021
Metabolic monitoring and diabetes screening measures for those on antipsychotics medicationsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2021
Medicaid News - June 2021- False Claims Act awareness
- MCG Care Guidelines 24th edition customization
- May 2020 medical policies and clinical utilization management guidelines update
- November 2020 medical policies and clinical utilization management guidelines update
- Updates to the AIM Advanced Imaging clinical appropriateness guidelines
To view this publication online:
Visit https://providernews.anthem.com/indiana/publications/june-2021-anthem-provider-news-indiana-952
Or scan this QR code with your phone