July 1, 2019
July 2019 Anthem Provider News - Kentucky
Administrative
CommercialJuly 1, 2019
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- July 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.
CommercialJuly 1, 2019
Reminder to providers: Fee schedule informationCommercialJuly 1, 2019
Update to Provider UM reimbursement penalties and corresponding update to Provider Manual*CommercialJuly 1, 2019
Anthem Works to Simplify Payment Recovery Process for National Accounts MembershipCommercialJuly 1, 2019
Make the move to the Availity EDI Gateway todayPolicy Updates
CommercialJuly 1, 2019
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*CommercialJuly 1, 2019
Modifier 79 reminder: ProfessionalCommercialJuly 1, 2019
Modifier 63 reminder: ProfessionalCommercialJuly 1, 2019
ICD-10-CM Coding Guidelines and Laterality: ProfessionalProducts & Programs
CommercialJuly 1, 2019
Clinical criteria updates for specialty pharmacyCommercialJuly 1, 2019
Clinical Criteria coding updates for specialty pharmacy are availableState & Federal
Medicare AdvantageJuly 1, 2019
Outpatient Rehabilitation Program transitioning to AIMMedicare AdvantageJuly 1, 2019
Home health billing guidelines for contracted providersMedicare AdvantageJuly 1, 2019
Electronic claim payment reconsiderationMedicare AdvantageJuly 1, 2019
Keep up with Medicare News -- July 2019MedicaidJuly 1, 2019
Review of professional claims with emergency department level 5 E&M codesMedicaidJuly 1, 2019
New service types added to AvailityMedicaidJuly 1, 2019
Latest updates to Electronic Data Interchange Gateway migrationMedicaidJuly 1, 2019
Coding Spotlight: HypertensionTo view this publication online:
Visit https://providernews.anthem.com/kentucky/publications/july-2019-anthem-provider-news-kentucky-265
Or scan this QR code with your phone