Kentucky
Provider Communications

Articles Month: July 2021

Title Publication Category Date

Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual

July 2021 Anthem Provider News - Kentucky Administrative Jul 1, 2021

Register now to learn strategies to help you and your practice improve clinical quality

July 2021 Anthem Provider News - Kentucky Administrative Jul 1, 2021

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

July 2021 Anthem Provider News - Kentucky Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for INR

July 2021 Anthem Provider News - Kentucky Administrative Jul 1, 2021

Another mark of the pandemic: An increase in childhood obesity

July 2021 Anthem Provider News - Kentucky Administrative Jul 1, 2021

How to enroll in electronic fund transfer (EFT) for faster remittance

July 2021 Anthem Provider News - Kentucky Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News - Kentucky Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News - Kentucky Digital Tools Jul 1, 2021

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Kentucky Products & Programs Jul 1, 2021

Reminder: Back Pain Guide program effective July 19, 2021

July 2021 Anthem Provider News - Kentucky Products & Programs Jul 1, 2021

Update: Site of care medical necessity reviews for long-acting colony-stimulating factors not implemented on June 1, 2021

July 2021 Anthem Provider News - Kentucky Pharmacy Jul 1, 2021

Updates for specialty pharmacy are available - July 2021

July 2021 Anthem Provider News - Kentucky Pharmacy Jul 1, 2021

Certain specialty medication prior authorization requests may require additional documentation

July 2021 Anthem Provider News - Kentucky Pharmacy Jul 1, 2021

Medical Policy and Clinical Guideline Updates - July 2021

July 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jul 1, 2021

Reminder: Updated AIM rehabilitative program effective August 1, 2021 - Site of service reviews

July 2021 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jul 1, 2021

New reimbursement policy: Non-patient laboratory services - Facility

July 2021 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Consultations - Professional

July 2021 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2021

Medicaid News - July 2021

View these Medicaid articles:
- Aspire Health for members in need of palliative care
- Clinical criteria updates notification December 2020
July 2021 Anthem Provider News - Kentucky Medicaid Jul 1, 2021

Let’s Vaccinate

July 2021 Anthem Provider News - Kentucky Medicaid Jul 1, 2021

What Matters Most: Improving the Patient Experience

July 2021 Anthem Provider News - Kentucky Medicaid Jul 1, 2021

Medicare News - July 2021

View these Medicare articles:
- Prior authorization requirement changes effective September 1, 2021 – UM Authorization Rule Operations Workgroup (AROW) Item 1845
- Provider notification for UM Authorization Rule Operations Workgroup (AROW) Item 1846
July 2021 Anthem Provider News - Kentucky Medicare Jul 1, 2021

Let’s Vaccinate

July 2021 Anthem Provider News - Kentucky Medicare Jul 1, 2021

Medical drug benefit clinical criteria updates

July 2021 Anthem Provider News - Kentucky Medicare Jul 1, 2021

Prior authorization requirement changes for codes A0426 and A0428 effective October 1, 2021

July 2021 Anthem Provider News - Kentucky Medicare Jul 1, 2021

New reimbursement policy: Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News - Kentucky Medicare Jul 1, 2021
Page 1 of 1