CommercialDecember 1, 2021
December 2021 Anthem Provider News - Kentucky
Administrative
CommercialDecember 1, 2021
Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to dateCommercialDecember 1, 2021
Professional system updates for 2022CommercialDecember 1, 2021
Outpatient system updates for 2022CommercialDecember 1, 2021
Chlamydia is asymptomatic. Only through screening will we know for sureCommercialDecember 1, 2021
Behavioral healthcare appointment access requirementsCommercialDecember 1, 2021
Importance of PCP after-hours messagingCommercialDecember 1, 2021
Important information about utilization managementCommercialDecember 1, 2021
Case management programCommercialDecember 1, 2021
Member rights and responsibilitiesCommercialDecember 1, 2021
Coordination of careCommercialDecember 1, 2021
Clinical practice and preventive health guidelines available on anthem.comCommercialDecember 1, 2021
Submitting prior authorizations is getting easierCommercialDecember 1, 2021
Is prior authorization required?CommercialDecember 1, 2021
Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem providersPolicy Updates
CommercialDecember 1, 2021
Medical policy and clinical guideline updates - December 2021CommercialDecember 1, 2021
Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness GuidelineCommercialDecember 1, 2021
Updates to AIM Specialty Health Cardiology Clinical Appropriateness GuidelinesCommercialDecember 1, 2021
Updates to AIM Advanced Imaging Clinical Appropriateness GuidelineCommercialDecember 1, 2021
Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness GuidelineCommercialDecember 1, 2021
RETRACTION: Inpatient Facility Transfers - facility reimbursement policyCommercialDecember 1, 2021
Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - ProfessionalCommercialDecember 1, 2021
New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - ProfessionalCommercialDecember 1, 2021
Reimbursement policy update: Virtual Visits - Professional and FacilityProducts & Programs
CommercialDecember 1, 2021
Company to retire Blue Precision program on December 31, 2021CommercialDecember 1, 2021
Updated AIM musculoskeletal program site of care reviews delayedCommercialDecember 1, 2021
Specialty pharmacy updates - December 2021CommercialDecember 1, 2021
Pharmacy information available at anthem.comState & Federal
MedicaidDecember 1, 2021
Keep up with Medicaid News - December 2021- Prior authorization updates for specialty pharmacy effective December 1, 2021
- Prior authorization updates for specialty pharmacy effective January 1, 2022
MedicaidDecember 1, 2021
COVID-19 Vaccine Provider Incentive programMedicaidDecember 1, 2021
Submitting prior authorizations is getting easierMedicaidDecember 1, 2021
Good news: Non-payment remittance advice enhancements are hereMedicaidDecember 1, 2021
HEDIS measures: Follow-Up After ED Visits for Mental Illness and Alcohol and Other Drug Abuse or DependenceMedicaidDecember 1, 2021
4 things you can do to encourage cancer screenings for your female patientsMedicare AdvantageDecember 1, 2021
Keep up with Medicare News - December 2021- Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
- Medical drug benefit clinical criteria updates
- Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
- New York City Medicare Advantage announcement
- Medical policies and clinical utilization management guidelines update
- Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (WI only)
Medicare AdvantageDecember 1, 2021
2022 Medicare Advantage service area and benefit updatesMedicare AdvantageDecember 1, 2021
Good news: Non-payment remittance advice enhancements are hereMedicare AdvantageDecember 1, 2021
Reimbursement policy update: Drug screen testingMedicare AdvantageDecember 1, 2021
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness GuidelinesMedicare AdvantageDecember 1, 2021
Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodiesMedicare AdvantageDecember 1, 2021
Submitting prior authorizations is getting easierMedicare AdvantageDecember 1, 2021
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