Indiana
Provider Communications

Articles

Title Publication Category Date

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

University of Chicago Offers Medicare Advantage Option

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

Anthem offers risk adjustment and documentation training

January 2019 Anthem Indiana Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Indiana Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Indiana Provider Newsletter Medicare Jan 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

Dual Eligible Special Needs (D-SNP) Plans - provider training required

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Update regarding evaluation and management with modifier 25

April 2019 Anthem Provider Newsletter - Indiana Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Indiana Medicare Apr 1, 2019

Keep up with Medicare news - April 2019

April 2019 Anthem Provider Newsletter - Indiana Medicare Apr 1, 2019

Keep up with Medicare news - May 2019

May 2019 Anthem Provider Newsletter - Indiana Medicare May 1, 2019

Keep up with Medicare News -- June 2019

June 2019 Anthem Provider Newsletter - Indiana Medicare Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Indiana Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Indiana Medicare Jun 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News - Indiana Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News - Indiana Medicare Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Provider News - Indiana Medicare Jul 1, 2019

Keep up with Medicare News -- July 2019

July 2019 Anthem Provider News - Indiana Medicare Jul 1, 2019

Medicare News -- August 2019

August 2019 Anthem Provider News - Indiana Medicare Aug 1, 2019

New service types added to Availity

N/A Medicare Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News - Indiana Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Indiana Medicare Aug 1, 2019

Special needs plans - provider training required

August 2019 Anthem Provider News - Indiana Medicare Aug 1, 2019

Medicare News -- September 2019

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Changes to prior authorization (PA) requirements

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Medicare News -- October 2019

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Indiana Medicare Oct 1, 2019

Medicare News -- November 2019

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines Update

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Medicare Preferred PPO plan available to Retired Indiana Public Employees Insurance Trust retirees

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Medicare News -- December 2019

December 2019 Anthem Provider News - Indiana Medicare Dec 1, 2019

Provider training series

December 2019 Anthem Provider News - Indiana Medicare Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Indiana Medicare Dec 1, 2019

Reminder to Medicare Advantage providers

December 2019 Anthem Provider News - Indiana Medicare Dec 1, 2019

Medicare News -- January 2020

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Introducing ConcertoHealth

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

August 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

2020 Medicare risk adjustment provider trainings

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicare News - February 2020

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

Medical Policy and Clinical Guidelines Updates

October 2018 Anthem Indiana Provider Newsletter Medical Policy & Clinical Guidelines Sep 28, 2018

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Indiana Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Medical Polices and Clinical Guidelines Updates - December 2018

December 2018 Anthem Indiana Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Medical Policy and Clinical Guidelines: February 2019*

February 2019 Anthem Indiana Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

February 2019 Anthem Indiana Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2019 Anthem Indiana Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Medical Policy and Clinical Guidelines Updates - April 2019*

April 2019 Anthem Provider Newsletter - Indiana Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

April 2019 Anthem Provider Newsletter - Indiana Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Indiana Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Indiana Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Indiana Medical Policy & Clinical Guidelines Apr 1, 2019

Clinical Guideline Update - May 2019*

May 2019 Anthem Provider Newsletter - Indiana Medical Policy & Clinical Guidelines May 1, 2019

MCG care guidelines 23rd Edition*

May 2019 Anthem Provider Newsletter - Indiana Medical Policy & Clinical Guidelines May 1, 2019

Medical Policy and Clinical Guideline Updates -- June 2019*

June 2019 Anthem Provider Newsletter - Indiana Medical Policy & Clinical Guidelines Jun 1, 2019

New Clinical Guideline: Inpatient Inter-Facility Transfers effective September 1, 2019*

June 2019 Anthem Provider Newsletter - Indiana Medical Policy & Clinical Guidelines Jun 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

July 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jul 1, 2019

Medical Policy and Clinical Guideline Updates -- August 2019*

August 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2019

Anthem customizations to MCG care guidelines 23rd edition*

August 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

August 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical Guideline Updates -- September 2019*

September 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Sep 1, 2019

Medical Policy and Clinical Guidelines Updates -- November 2019*

November 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2019

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair*

January 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jan 1, 2020

Medical Policy and Clinical Guideline Updates - February 2020*

February 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2020
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