Kentucky
Provider Communications

October 2018 Anthem Kentucky Provider Newsletter

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Title Category

Access patient-specific drug benefit information through EMR

Pharmacy

Anthem expands specialty pharmacy clinically equivalent drug list

Pharmacy

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

Pharmacy

Anthem expands specialty pharmacy prior authorization list

Pharmacy

Anthem fights opioid addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy

Medicaid

Anthem fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

Products & Programs

Anthem launches additional changes to anthem.com in October

Administrative

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

Medicare

Are you looking for innovative ways to improve your patients’ experiences and earn CME credits?

Administrative

Availity EDI Gateway Webinars Scheduled

Administrative

Availity: Anthem’s EDI Gateway is now through Availity

Administrative

Cervical length measurement by transvaginal ultrasound

Medicaid

Clinical practice and preventive health guidelines

Coverage and Clinical Guidelines

Clinical Utilization Management Guidelines update - March 2018

Medicaid

Coding Spotlight - Obesity

Medicaid

Explore new enhancements to the Availity Education and Reference Center

Administrative

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

Medicare

Health Care Reform (including Health Insurance Exchange) Updates and Notifications

Products & Programs

HEDIS® 2018: Provider Incentive Winners Announced!

Administrative

Integrated Medical and Behavioral Healthcare Services Billing

Reimbursement Policies

Keep up with Medicare news

Medicare

Medical Policies and Clinical Utilization Management Guidelines update - January 2018

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update - May 2018

Medicaid

Medical Policy and Clinical Guidelines Updates

Medical Policy & Clinical Guidelines

Medicare pharmacy and prescriber home starts January 2019

Medicare

Miscellaneous durable medical equipment (DME) billing guidelines

Medicaid

New Reimbursement Policy - Facility Revenue Code Billing

Reimbursement Policies

Pharmacy information available at anthem.com

Pharmacy

Please evaluate statin use for MA members with diabetes, cardiovascular disease

Medicare

Prior authorization requirements for Cabazitaxel (Jevtana)

Medicaid

Prior authorization requirements for Darzalex (daratumumab) drug

Medicaid

Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)

Medicaid

Reimbursement Policy Update - Readmissions (Facility)

Reimbursement Policies

Special Investigations Unit (SUI) Updates: FDA Warnings

Administrative

Streamline workflow with solicited medical attachments

Medicaid

Tips for billing CPT modifier 33

Reimbursement Policies

Update to AIM Specialty Health clinical appropriateness guidelines

Products & Programs

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

Products & Programs

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

Products & Programs

Update to Durable Medical Equipment - effective October 14, 2018

Administrative

Updated Provider Manual posted to anthem.com

Administrative

Vaginal birth after cesarean (VBAC) shared decision-making aid available

Medicaid

View reimbursement policies online at anthem.com

Reimbursement Policies
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