Kentucky
Provider Communications

July 2022 Anthem Provider News - Kentucky

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Title Category

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

Administrative

Provider Manual updated effective October 1, 2022

Administrative

Update to facility editing: HCPCS code G0463

Administrative

Coding tips for reporting administration of Spravato®

Administrative

Help patients heal from the comfort of home with Hospital in Home care

Administrative

CAA: Keep your provider directory information current

Administrative

More potato chips, sugary drinks and less physical activity are key contributors to childhood obesity

Administrative

Clearing up coding confusion for diabetic retinal screenings

Administrative

Coming soon: The Anthem Provider Learning Hub makes Availity learning easier

Digital Tools

Enhancing claims attachment processes through the digital application Claims Status Inquiry

Digital Tools

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

Products & Programs

Pharmacy information available at anthem.com

Pharmacy

New reimbursement policy: Transitional Care Management - professional

Reimbursement Policies

New reimbursement policy: Modifier FB - Professional and Facility

Reimbursement Policies

Reimbursement policy update: Modifier Rules - Professional

Reimbursement Policies

Reimbursement policy update: Laboratory and venipuncture services - professional and facility

Reimbursement Policies

New reimbursement policy: Place of Service - Facility

Reimbursement Policies

Retraction for reimbursement policy: Sexually Transmitted Infections - Professional

Reimbursement Policies

Reimbursement policy update: Distinct Procedural Service, Modifiers 59, XE, XP, XS, XU - professional

Reimbursement Policies

Keep up with Medicaid News - July 2022

- Prior authorization updates for medications billed under the medical benefit
Medicaid

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Medicaid

Diabetes self-management education and support

Medicaid

Keep up with Medicare News - July 2022

- New specialty pharmacy medical step therapy requirements
Medicare

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

Medicare

Cancer Care Navigator

Medicare

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

Medicare
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