Kentucky
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Medical policy and clinical guideline updates - April 2021

April 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2021

Update: Clinical guideline adoption postponed

April 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2021

MCG Care Guidelines 25th Edition available

April 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2021

Update for Commercial providers: AIM sleep program CPT code E1399, NOC: Durable medical equipment, miscellaneous

April 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2021

Update: Notice of changes to the AIM Small Joint Surgery guideline

March 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Mar 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

March 2021 Anthem Provider News - Kentucky Reimbursement Policies Mar 1, 2021

Medical Policy and Clinical Guideline Updates - February 2021

February 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Feb 1, 2021

Reimbursement policy update: Emergency Room Transfers - Facility

February 2021 Anthem Provider News - Kentucky Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

February 2021 Anthem Provider News - Kentucky Reimbursement Policies Feb 1, 2021

Medical Policy and Clinical Guideline Updates - January 2021

January 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jan 1, 2021

MCG Care Guidelines 24th Edition Customization

January 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jan 1, 2021

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional

January 2021 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Frequency editing - Professional

January 2021 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional

January 2021 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Modifier Rules - Professional

January 2021 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional

January 2021 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2021

Medical policy and clinical guideline updates - December 2020

December 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Cardiology clinical appropriateness guidelines

December 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline

December 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Radiation Oncology clinical appropriateness guideline

December 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)

December 2020 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2020

Reimbursement policy update: DRG newborn inpatient stays (Facility)

December 2020 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

December 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Dec 1, 2020

Medical policy and clinical guideline updates - November 2020

November 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2020

Correction to Prior Authorization Update for Commercial business

November 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2020

New reimbursement policy: Documentation standards for episodes of care (Professional)

November 2020 Anthem Provider News - Kentucky Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)

November 2020 Anthem Provider News - Kentucky Reimbursement Policies Nov 1, 2020

Reminder: Post-service reviews using AIM

November 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2020

Reimbursement policy update: Modifier rules (Professional)

November 2020 Anthem Provider News - Kentucky Reimbursement Policies Nov 1, 2020

Transition to AIM rehabilitative service clinical appropriateness guidelines

October 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Oct 1, 2020

Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Oct 1, 2020

Reimbursement policy update: Claims requiring additional documentation policy (Facility)

October 2020 Anthem Provider News - Kentucky Reimbursement Policies Oct 1, 2020

Medical policy and clinical guideline updates - October 2020

October 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Oct 1, 2020

Prior authorization update for Commercial Individual Business

October 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Oct 1, 2020

Reimbursement policy update: Emergency department - leveling of Evaluation and Management services (Facility)

October 2020 Anthem Provider News - Kentucky Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Laboratory and venipuncture (Professional)

October 2020 Anthem Provider News - Kentucky Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Distinct Procedural Services- Modifiers 59, XE, XP, XS, XU (Professional)

September 2020 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing (Professional)

September 2020 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2020

Medical policy and clinical guideline updates - August 2020

August 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2020

Reimbursement Policy Update: Claims requiring additional documentation (Facility)

August 2020 Anthem Provider News - Kentucky Reimbursement Policies Aug 1, 2020

New MCG 24th Edition Guidelines

July 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jul 1, 2020

Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determination

July 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jul 1, 2020

Medical Policy and Clinical Guideline Updates - June 2020

June 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

June 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2020

New Reimbursement Policies: Nurse Practitioner and Physician Assistant Services (Professional)

June 2020 Anthem Provider News - Kentucky Reimbursement Policies Jun 1, 2020

REMINDER: AIM Rehabilitative Program Pediatric Exclusions

June 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines May 1, 2020

Reimbursement Policy Update: Claims requiring additional documentation (Facility)

May 2020 Anthem Provider News - Kentucky Reimbursement Policies May 1, 2020

Reminder about system updates

May 2020 Anthem Provider News - Kentucky Reimbursement Policies May 1, 2020

MCG Care Guidelines 24th Edition

April 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2020

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements

April 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2020

Medical Policy and Clinical Guideline Updates - February 2020

February 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

February 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Feb 1, 2020

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair

January 2020 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jan 1, 2020

Outpatient Facility Edit Implementation

January 2020 Anthem Provider News - Kentucky Reimbursement Policies Jan 1, 2020

New Reimbursement Policies: Durable Medical Equipment, Rent to Purchase Durable Medical Equipment, and Modifiers (Professional)

December 2019 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2019

System updates for 2020 (Professional)

December 2019 Anthem Provider News - Kentucky Reimbursement Policies Dec 1, 2019

Medical Policy and Clinical Guidelines Updates -- November 2019

November 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Nov 1, 2019

Reimbursement Policy update: Place of Service- Professional

October 2019 Anthem Provider News - Kentucky Reimbursement Policies Oct 1, 2019

Clinical Guideline Updates -- September 2019

September 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Sep 1, 2019

New Reimbursement Policies: Maternity Services and Multiple Delivery - Professional

September 2019 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2019

New Reimbursement Policy: Intensity Modulated Radiation Therapy Planning and Delivery - Professional

September 2019 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2019

Medical Policy and Clinical Guideline Updates -- August 2019

August 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2019

Anthem customizations to MCG care guidelines 23rd edition

August 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Aug 1, 2019

Reimbursement Policy Update: Bundled Services-Professional

August 2019 Anthem Provider News - Kentucky Reimbursement Policies Aug 1, 2019

Reimbursement Policy Update: Frequency Editing-Professional

August 2019 Anthem Provider News - Kentucky Reimbursement Policies Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

July 2019 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jul 1, 2019

Modifier 79 reminder: Professional

July 2019 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2019

Modifier 63 reminder: Professional

July 2019 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2019

ICD-10-CM Coding Guidelines and Laterality: Professional

July 2019 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2019

Medical Policy and Clinical Guideline Updates -- June 2019*

June 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2019

New Clinical Guideline: Inpatient Inter-Facility Transfers effective September 1, 2019*

June 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2019

New Reimbursement Policy: Ambulance Transportation -- Professional*

June 2019 Anthem Provider Newsletter - Kentucky Reimbursement Policies Jun 1, 2019

Reimbursement Policy Update: Frequency Editing -- Professional*

June 2019 Anthem Provider Newsletter - Kentucky Reimbursement Policies Jun 1, 2019

Reimbursement Policy Update: Clinical Validation -- Professional*

June 2019 Anthem Provider Newsletter - Kentucky Reimbursement Policies Jun 1, 2019

Clinical Guideline Update - May 2019*

May 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines May 1, 2019

MCG care guidelines 23rd Edition*

May 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines May 1, 2019

Update: Drug Screen Testing - Professional*

May 2019 Anthem Provider Newsletter - Kentucky Reimbursement Policies May 1, 2019

Medical Policy and Clinical Guidelines Updates - April 2019*

April 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

April 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Kentucky Medical Policy & Clinical Guidelines Apr 1, 2019

New Reimbursement Policy: Partial Hospitalization Program and Intensive Outpatient Program Services Facility*

April 2019 Anthem Provider Newsletter - Kentucky Reimbursement Policies Apr 1, 2019
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