April 1, 2019
April 2019 Anthem Provider Newsletter - Kentucky
Filter By: AllCommercial
Administrative
CommercialApril 1, 2019
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: April 2019Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
CommercialApril 1, 2019
New on Interactive Care Reviewer (ICR): Request Clinical AppealsCommercialApril 1, 2019
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services providedCommercialApril 1, 2019
Why do patients stop taking their prescribed medications and what can you do to help them?Policy Updates
CommercialApril 1, 2019
Medical Policy and Clinical Guidelines Updates - April 2019*CommercialApril 1, 2019
Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*CommercialApril 1, 2019
Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*CommercialApril 1, 2019
Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*CommercialApril 1, 2019
Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*Products & Programs
CommercialApril 1, 2019
New AIM Rehabilitative program effective July 1, 2019CommercialApril 1, 2019
Anthem expands specialty pharmacy prior authorization list*CommercialFebruary 1, 2019
Pharmacy information available at anthem.comState & Federal
Medicare AdvantageApril 1, 2019
Update regarding evaluation and management with modifier 25Medicare AdvantageApril 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage membersMedicare AdvantageApril 1, 2019
Keep up with Medicare news - April 2019MedicaidApril 1, 2019
Correction: Cervical length measurement by transvaginal ultrasoundMedicaidApril 1, 2019
Coding Spotlight: Cancer - A provider’s guide to properly code cancersMedicaidApril 1, 2019
New specialty pharmacy medical step therapy requirementsMedicaidApril 1, 2019
Neonatal intensive care unit post-traumatic stress disorder programMedicaidApril 1, 2019
Practitioners’ rights during credentialing processMedicaidApril 1, 2019
Provider surveysMedicaidApril 1, 2019
Update: Evaluation and Management with Modifier 25MedicaidApril 1, 2019
Reimbursement Policy Update: Modifier 25To view this publication online:
Or scan this QR code with your phone