Kentucky
Provider Communications

September 2022 Anthem Provider News - Kentucky

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Title Category

Continuing to Explore the Intersection of Race and Disability

Administrative

Monkeypox resources and recommendations for our care providers

Administrative

Important information about women’s preventive care visits

Administrative

Correction: New patient evaluation and management services when reported for the same patient within the last three years

Administrative

Reminder to submit claims with complete and correct data to avoid claim denial

Administrative

Drug code billing reminder

Administrative

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

Administrative

Anthem to accept Hospital in Home services

Administrative

New Strategic Provider System lauched in August 2022

Digital Tools

Updates to the Claim Attachment workflow

Digital Tools

Reminder: Use Availity to submit medical records

Digital Tools

Update to formulary lists for Commercial health plan pharmacy benefit

Pharmacy

Specialty pharmacy updates - September 2022

Pharmacy

Medical policy and clinical guideline updates – September 2022

Medical Policy & Clinical Guidelines

Reimbursement policy update: Modifier Rules - Professional

Reimbursement Policies

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

Reimbursement Policies

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

Reimbursement Policies

OBRA 93 claim filing for Federal Employee Program

Federal Employee Plan (FEP)

Anthem Medicaid responds to those affected by floods in eastern Kentucky

Medicaid

Keep up with Medicaid News - September 2022

- New Strategic Provider System will launch in August 2022
- Clinical criteria updates
- COVID-19 Vaccine Provider Incentive Program ages 6 months+
- Prior authorization updates for medications billed under the medical benefit
Medicaid

Specialty pharmacy site of care program retraction

Medicaid

Complex Case Management program

Medicaid

New reimbursement policy: Diagnosis-related group newborn inpatient stays - Facility

Medicaid

New specialty pharmacy medical step therapy requirements

Medicaid

Alcohol use disorders linked to chronic diseases

Medicaid

InterQual 2022 revisions

Medicaid

Keep up with Medicare News - September 2022

- Anthem expands specialty pharmacy precertification list
- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- New Strategic Provider System will launch in August 2022
Medicare

Reminder: AIM prior authorization phone number change for Medicare

Medicare

Prior authorization requirement changes effective December 1, 2022

Medicare

Anthem expands specialty pharmacy precertification list

Medicare

Reimbursement policy update: Modifiers 25 and 57 - Evaluation and Management with Global Procedures

Medicare
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