Kentucky
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Kentucky Provider Newsletter Medicare Sep 28, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Kentucky Provider Newsletter Medicare Sep 28, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Kentucky Provider Newsletter Medicare Sep 28, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Kentucky Provider Newsletter Medicare Sep 28, 2018

Keep up with Medicare news

October 2018 Anthem Kentucky Provider Newsletter Medicare Sep 28, 2018

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News - Kentucky Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News - Kentucky Medicare Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Provider News - Kentucky Medicare Jul 1, 2019

Keep up with Medicare News -- July 2019

July 2019 Anthem Provider News - Kentucky Medicare Jul 1, 2019

Medicare News -- September 2019

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Changes to prior authorization (PA) requirements

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News - Kentucky Medicare Sep 1, 2019

Medicare News -- August 2019

August 2019 Anthem Provider News - Kentucky Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Provider News - Kentucky Medicare Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News - Kentucky Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Kentucky Medicare Aug 1, 2019

Special needs plans - provider training required

August 2019 Anthem Provider News - Kentucky Medicare Aug 1, 2019

Medicare News -- January 2020

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News - Kentucky Medicare Apr 1, 2021

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Provider News - Kentucky Medicare Dec 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Introducing ConcertoHealth

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

December 2020 Anthem Provider News - Kentucky Medicare Dec 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Access to more claim denial information is now self-service

April 2021 Anthem Provider News - Kentucky Medicare Apr 1, 2021

August 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

In-Office Assessment program

April 2021 Anthem Provider News - Kentucky Medicare Apr 1, 2021

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Medicare News - July 2020

View 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
July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

Medical policies and clinical utilization management guidelines update

December 2020 Anthem Provider News - Kentucky Medicare Dec 1, 2020

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Provider News - Kentucky Medicare Apr 1, 2021

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

Clinical criteria updates notification - November 2020

April 2021 Anthem Provider News - Kentucky Medicare Apr 1, 2021

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

2020 affirmative statement concerning utilization management decisions

July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

Clinical criteria updates notification - December 2020

April 2021 Anthem Provider News - Kentucky Medicare Apr 1, 2021

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Medical drug benefit clinical criteria updates

July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

2020 Medicare risk adjustment provider trainings

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

In-Office Assessment Program

July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

Policy Update: Emergency Department: Leveling of Evaluation and Management Services

December 2020 Anthem Provider News - Kentucky Medicare Dec 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News - Kentucky Medicare Jul 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Kentucky Medicare Dec 1, 2020

Verifying and updating your provider information

January 2020 Anthem Provider News - Kentucky Medicare Jan 1, 2020

Keep up with Medicare news - January 2021

View these Medicare articles:
- Medicare Advantage Group Retiree Quick Reference Guide and FAQ
- Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ
- SNF admission reporting requirements for D-SNP plans
- Policy Update: Nurse Practitioner and Physician Assistant Services – Professional
- Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology
January 2021 Anthem Provider News - Kentucky Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Provider News - Kentucky Medicare Jan 1, 2021

Updates to AIM clinical appropriateness guidelines for Advanced Imaging

January 2021 Anthem Provider News - Kentucky Medicare Jan 1, 2021

Updates to AIM Specialty Health Cardiac clinical appropriateness guidelines

January 2021 Anthem Provider News - Kentucky Medicare Jan 1, 2021

Medical drug benefit clinical criteria updates

January 2021 Anthem Provider News - Kentucky Medicare Jan 1, 2021

Provider Chat: A fast, easy way to get your questions answered

January 2021 Anthem Provider News - Kentucky Medicare Jan 1, 2021

Medicare News - May 2020

View these Medicare articles:
- Prior Authorization requirements
- New behavioral health Medicare Advantage individual and Group Retiree Solutions provider fax
May 2020 Anthem Provider News - Kentucky Medicare May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News - Kentucky Medicare May 1, 2020

Medicare News - March 2021

View these Medicare articles:
- MCG Care Guidelines 24th edition customization
- DME checklist of information needed from providers
March 2021 Anthem Provider News - Kentucky Medicare Mar 1, 2021

Multi-dose packaging

May 2020 Anthem Provider News - Kentucky Medicare May 1, 2020

New provider directory indicator for telehealth services

March 2021 Anthem Provider News - Kentucky Medicare Mar 1, 2021

Medical policies and clinical utilization management guidelines update

March 2021 Anthem Provider News - Kentucky Medicare Mar 1, 2021

Medicare News -- December 2019

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

Provider training series

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

Group Retiree Solutions Kentucky and Ohio HMO Medicare Advantage plans

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

State Auto Insurance Companies to offer Medicare Advantage option

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

Reminder to Medicare Advantage providers

December 2019 Anthem Provider News - Kentucky Medicare Dec 1, 2019

Medicare News - October 2020

View these Medicare articles:
- Evaluation and management services correct coding
- Medical policies and clinical utilization management guidelines update
- Prior authorization requirements for the below codes effective January 2021
October 2020 Anthem Provider News - Kentucky Medicare Oct 1, 2020

Medical drug benefit clinical criteria updates

October 2020 Anthem Provider News - Kentucky Medicare Oct 1, 2020

Medicare News - June 2020

View these Medicare articles:
- Acquisition of Beacon Health Options
- MCG care guidelines – 24th edition
June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

Prior authorization requirements for the below codes effective January 1, 2021

October 2020 Anthem Provider News - Kentucky Medicare Oct 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Kentucky Medicare Oct 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Kentucky Provider Newsletter Medicare Feb 1, 2019

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Kentucky Provider Newsletter Medicare Feb 1, 2019

Modifier use reminders

June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

Provider transparency update

October 2020 Anthem Provider News - Kentucky Medicare Oct 1, 2020

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Kentucky Provider Newsletter Medicare Feb 1, 2019

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Kentucky Medicare Jun 1, 2020

New specialty Medicare Part B device preferred product program

February 2019 Anthem Kentucky Provider Newsletter Medicare Feb 1, 2019

Medicare News -- November 2019

November 2019 Anthem Provider News - Kentucky Medicare Nov 1, 2019

Keep up with Medicare news

February 2019 Anthem Kentucky Provider Newsletter Medicare Feb 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Provider News - Kentucky Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News - Kentucky Medicare Nov 1, 2019

Keep up with Medicare News -- June 2019

June 2019 Anthem Provider Newsletter - Kentucky Medicare Jun 1, 2019

Medicare News - March 2020

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Kentucky Medicare Jun 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Kentucky Medicare Nov 1, 2019

Outpatient Rehabilitation Program transition: new prior authorization requirements

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Complex discharge planning

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Kentucky Medicare Jun 1, 2019

Personal Home Helper benefit

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Anthem Provider News - Kentucky Medicare Mar 1, 2020

Keep up with Medicare news - May 2021

View these Medicare articles:
- Anthem working with Optum to collect medical records for Medicare Risk Adjustment (MRA)
- Helping our senior members
- Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines
May 2021 Anthem Provider News - Kentucky Medicare May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News - Kentucky Medicare May 1, 2021

Medicare News - June 2021

View these Medicare articles:
- Anthem working with Optum to collect medical records for risk adjustment
- Medical drug benefit clinical criteria updates
- Updates to the AIM advanced imaging clinical appropriateness guidelines
June 2021 Anthem Provider News - Kentucky Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Provider News - Kentucky Medicare Jun 1, 2021
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