July 1, 2020
July 2020 Anthem Provider News - Kentucky
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CommercialJuly 1, 2020
Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2020 Program Year Progression - What’s in it for you and your patients?CommercialJuly 1, 2020
Welcome to the Custom Learning Center in AvailityCommercialJuly 1, 2020
Important change to prior authorization requests for inpatient hospital admissionsPolicy Updates
CommercialJuly 1, 2020
Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinationCommercialJuly 1, 2020
New MCG 24th Edition GuidelinesProducts & Programs
CommercialJuly 1, 2020
Level of care medical necessity reviews for upper and lower endoscopy procedures begin October 1, 2020CommercialJuly 1, 2020
Anthem prior authorization updates for specialty pharmacy are available - July 2020CommercialJuly 1, 2020
Updated coverage for HIV PrEP medicationsState & Federal
MedicaidJuly 1, 2020
Coding spotlight: Provider’s guide to code social determinants of healthMedicare AdvantageJuly 1, 2020
2020 Special Needs PlansMedicare AdvantageJuly 1, 2020
In-Office Assessment ProgramMedicare AdvantageJuly 1, 2020
Medical drug benefit clinical criteria updatesMedicare AdvantageJuly 1, 2020
2020 affirmative statement concerning utilization management decisionsMedicare AdvantageJuly 1, 2020
Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue ShieldMedicare AdvantageJuly 1, 2020
Medicare News - July 2020View these Medicare articles:
- New behavioral health discharge call-in line
- Medical policies and clinical utilization management guidelines update
- Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines
- Transition to AIM rehabilitative services clinical appropriateness guidelines
- Modifier use reminders
- New behavioral health discharge call-in line
- Medical policies and clinical utilization management guidelines update
- Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines
- Transition to AIM rehabilitative services clinical appropriateness guidelines
- Modifier use reminders
MedicaidJuly 1, 2020
Modifier use remindersMedicaidJuly 1, 2020
Reminder: Mid-level practitioners are required to file using their NPIMedicaidJuly 1, 2020
Coding spotlight: Provider’s guide to coding for cardiovascular conditionsTo view this publication online:
Visit https://providernews.anthem.com/kentucky/publications/july-2020-anthem-provider-news-kentucky-678
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