CommercialAugust 1, 2021
August 2021 Anthem Provider News - Kentucky
Administrative
CommercialAugust 1, 2021
Register now for our August CME webinarsCommercialAugust 1, 2021
Clearing up coding confusion for retinal eye exams (DRE)CommercialAugust 1, 2021
Telehealth visits can impact after hospitalization follow-up care for mental illnessCommercialAugust 1, 2021
Submitting prior authorizations is getting easierCommercialAugust 1, 2021
New! Schedule appointments online through AvailityPolicy Updates
CommercialAugust 1, 2021
Transition to AIM Specialty Health imaging of the heart clinical appropriateness guideline for computed tomography to detect coronary artery calcificationCommercialAugust 1, 2021
Update: AIM Musculoskeletal Program effective November 1, 2021 - Site of care reviewsCommercialAugust 1, 2021
Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XUCommercialAugust 1, 2021
Reimbursement policy update: Claims requiring additional documentation (Facility)CommercialAugust 1, 2021
Reimbursement policy update: Virtual Visits (Professional and Facility)Products & Programs
CommercialAugust 1, 2021
Some requests to AIM may require documentation to support prior authorizationCommercialAugust 1, 2021
Change in email submission of service requests for Federal Employee Program® membersCommercialAugust 1, 2021
Pharmacy information available at anthem.comCommercialAugust 1, 2021
Immune globulin adjusted body weight dosing program beginning August 1, 2021CommercialAugust 1, 2021
Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021CommercialAugust 1, 2021
Specialty dose rounding program for certain oncology medicationsCommercialAugust 1, 2021
Updates for specialty pharmacy are available - August 2021State & Federal
Medicare AdvantageAugust 1, 2021
Preventing claims denials: Shingles vaccineMedicare AdvantageAugust 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patientsMedicare AdvantageAugust 1, 2021
Medicare News - August 2021- Infliximab Step Therapy - Effective 7/15/2021
- Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907
MedicaidAugust 1, 2021
Member rights’ and responsibilities statementMedicaidAugust 1, 2021
Important information about utilization managementMedicaidAugust 1, 2021
Complex case management programMedicaidAugust 1, 2021
Coding spotlight: mental disorders in childhoodMedicaidAugust 1, 2021
Resources to support your diverse patient panelMedicaidAugust 1, 2021
Keeping up with routine vaccination during COVID-19MedicaidAugust 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patientsMedicaidAugust 1, 2021
New reimbursement policy: Modifier 90 Reference (Outside) Laboratory and Pass-Through Billing effective November 1, 2021MedicaidAugust 1, 2021
June 2020 medical drug benefit clinical criteria updatesMedicaidAugust 1, 2021
March 2020 medical drug benefit clinical criteria updatesMedicaidAugust 1, 2021
Medicaid News - August 2021- InterQual April 2021 revisions
- Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837
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