CommercialAugust 1, 2020
August 2020 Anthem Provider News - Kentucky
Administrative
CommercialAugust 1, 2020
Provider contract and fee schedule notifications coming soonCommercialAugust 1, 2020
Resources to support diverse patients and communitiesCommercialAugust 1, 2020
Evaluation and management services correct coding (Professional)CommercialAugust 1, 2020
Migrate your EDI transactions to Availity todayCommercialAugust 1, 2020
Electronic claims submission - Clinical Laboratory Improvement Amendments (CLIA)CommercialAugust 1, 2020
Anthem electronic attachments - X12 275 5010CommercialAugust 1, 2020
Coming soon: Enhance your prior authorization and inpatient admission and discharge notification via electronic and digital self-service for 2020CommercialAugust 1, 2020
Medical record standardsCommercialAugust 1, 2020
Appropriate coding helps provide a comprehensive picture of patients’ healthPolicy Updates
CommercialAugust 1, 2020
Medical policy and clinical guideline updates - August 2020CommercialAugust 1, 2020
Expansion of AIM Musculoskeletal Program effective November 1, 2020CommercialAugust 1, 2020
Reimbursement Policy Update: Claims requiring additional documentation (Facility)Products & Programs
CommercialAugust 1, 2020
Anthem to update formulary lists for commercial health plan pharmacy benefitCommercialAugust 1, 2020
Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020CommercialAugust 1, 2020
Anthem prior authorization updates for specialty pharmacy are available - August 2020CommercialAugust 1, 2020
Pharmacy information available on anthem.comState & Federal
MedicaidAugust 1, 2020
Medicaid News - August 2020View these Medicaid articles:
- InterQual 2020 update
- Appointment availability and after-hours access requirements
- InterQual 2020 update
- Appointment availability and after-hours access requirements
MedicaidAugust 1, 2020
Medical drug benefit clinical criteria updatesMedicaidAugust 1, 2020
Controlling high blood pressure (CBP)Medicare AdvantageAugust 1, 2020
Medicare News - August 2020View these Medicare articles:
- Submit behavioral health authorizations via our online Interactive Care Reviewer (ICR) tool
- Updates to AIM musculoskeletal program clinical appropriateness guidelines
- Provider data update
- Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM
- AIM Musculoskeletal program expansion
- New MCG Care Guidelines 24th edition
- Submit behavioral health authorizations via our online Interactive Care Reviewer (ICR) tool
- Updates to AIM musculoskeletal program clinical appropriateness guidelines
- Provider data update
- Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM
- AIM Musculoskeletal program expansion
- New MCG Care Guidelines 24th edition
Medicare AdvantageAugust 1, 2020
Medical drug benefit clinical criteria updatesMedicare AdvantageAugust 1, 2020
2020 Medicare risk adjustment provider trainingsTo view this publication online:
Visit https://providernews.anthem.com/kentucky/publications/august-2020-anthem-provider-news-kentucky-696
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