Kentucky
Provider Communications

Articles

Title Publication Category Date

Reimbursement policy update: Modifier Rules - Professional

September 2022 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

September 2022 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

September 2022 Anthem Provider News - Kentucky Reimbursement Policies Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Sep 1, 2022

Anthem Medicaid responds to those affected by floods in eastern Kentucky

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

Keep up with Medicaid News - September 2022

- New Strategic Provider System will launch in August 2022
- Clinical criteria updates
- COVID-19 Vaccine Provider Incentive Program ages 6 months+
- Prior authorization updates for medications billed under the medical benefit
September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

Specialty pharmacy site of care program retraction

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

Complex Case Management program

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

New reimbursement policy: Diagnosis-related group newborn inpatient stays - Facility

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

New specialty pharmacy medical step therapy requirements

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

Alcohol use disorders linked to chronic diseases

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

InterQual 2022 revisions

September 2022 Anthem Provider News - Kentucky Medicaid Sep 1, 2022

Keep up with Medicare News - September 2022

- Anthem expands specialty pharmacy precertification list
- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- New Strategic Provider System will launch in August 2022
September 2022 Anthem Provider News - Kentucky Medicare Sep 1, 2022

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Provider News - Kentucky Administrative Sep 1, 2022

Monkeypox resources and recommendations for our care providers

September 2022 Anthem Provider News - Kentucky Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Anthem Provider News - Kentucky Administrative Sep 1, 2022

Correction: New patient evaluation and management services when reported for the same patient within the last three years

September 2022 Anthem Provider News - Kentucky Administrative Sep 1, 2022

Reminder to submit claims with complete and correct data to avoid claim denial

September 2022 Anthem Provider News - Kentucky Administrative Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News - Kentucky Administrative Sep 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Provider News - Kentucky Administrative Sep 1, 2022

Anthem to accept Hospital in Home services

September 2022 Anthem Provider News - Kentucky Administrative Sep 1, 2022

Updates to the Claim Attachment workflow

September 2022 Anthem Provider News - Kentucky Digital Tools Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News - Kentucky Pharmacy Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Anthem Provider News - Kentucky Medicare Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Anthem Provider News - Kentucky Medicare Sep 1, 2022

Anthem expands specialty pharmacy precertification list

September 2022 Anthem Provider News - Kentucky Medicare Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57 - Evaluation and Management with Global Procedures

September 2022 Anthem Provider News - Kentucky Medicare Sep 1, 2022

New Strategic Provider System lauched in August 2022

September 2022 Anthem Provider News - Kentucky Digital Tools Aug 4, 2022

Anthem responds to those affected by floods in eastern Kentucky

Anthem responds to those affected by floods in eastern Kentucky Administrative Aug 2, 2022

Update: outpatient prepay itemized bill review program

August 2022 Anthem Provider News - Kentucky Administrative Aug 1, 2022

Specialty pharmacy updates - August 2022

August 2022 Anthem Provider News - Kentucky Pharmacy Aug 1, 2022

Keep up with Medicaid News - August 2022

- Medical drug benefit Clinical Criteria updates
August 2022 Anthem Provider News - Kentucky Medicaid Aug 1, 2022

Prior authorization requirement changes effective November 1, 2022

August 2022 Anthem Provider News - Kentucky Medicaid Aug 1, 2022

Chlamydia screening

August 2022 Anthem Provider News - Kentucky Medicaid Aug 1, 2022

Using SBIRT to address opioid and substance use disorders

August 2022 Anthem Provider News - Kentucky Medicaid Aug 1, 2022

The cost of alcohol use disorder

August 2022 Anthem Provider News - Kentucky Medicaid Aug 1, 2022

AIM Specialty Health phone number update

August 2022 Anthem Provider News - Kentucky Administrative Aug 1, 2022

New patient evaluation and management services when reported for the same patient within the last three years

August 2022 Anthem Provider News - Kentucky Administrative Aug 1, 2022

Timely updates help keep our provider directories current

August 2022 Anthem Provider News - Kentucky Administrative Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

August 2022 Anthem Provider News - Kentucky Digital Tools Aug 1, 2022

Performance enhancements to the authorization application on Availity Essentials

August 2022 Anthem Provider News - Kentucky Digital Tools Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Provider News - Kentucky Digital Tools Aug 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News - Kentucky Behavioral Health Aug 1, 2022

Pharmacy information available at anthem.com

August 2022 Anthem Provider News - Kentucky Pharmacy Aug 1, 2022

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Kentucky Administrative Jul 20, 2022

Enroll through EnrollSafe to be paid via EFT

Enroll through EnrollSafe to be paid via EFT - Kentucky Digital Tools Jul 14, 2022

Update to facility editing: HCPCS code G0463

July 2022 Anthem Provider News - Kentucky Administrative Jul 1, 2022

Coding tips for reporting administration of Spravato®

July 2022 Anthem Provider News - Kentucky Administrative Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Provider News - Kentucky Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Anthem Provider News - Kentucky Administrative Jul 1, 2022

More potato chips, sugary drinks and less physical activity are key contributors to childhood obesity

July 2022 Anthem Provider News - Kentucky Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Provider News - Kentucky Administrative Jul 1, 2022

Coming soon: The Anthem Provider Learning Hub makes Availity learning easier

July 2022 Anthem Provider News - Kentucky Digital Tools Jul 1, 2022

Enhancing claims attachment processes through the digital application Claims Status Inquiry

July 2022 Anthem Provider News - Kentucky Digital Tools Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Kentucky Products & Programs Jul 1, 2022

New reimbursement policy: Transitional Care Management - professional

July 2022 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2022

Keep up with Medicare News - July 2022

- New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Kentucky Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Kentucky Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Provider News - Kentucky Medicare Jul 1, 2022

Provider Manual updated effective October 1, 2022

July 2022 Anthem Provider News - Kentucky Administrative Jul 1, 2022

Pharmacy information available at anthem.com

July 2022 Anthem Provider News - Kentucky Pharmacy Jul 1, 2022

New reimbursement policy: Modifier FB - Professional and Facility

July 2022 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules - Professional

July 2022 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Laboratory and venipuncture services - professional and facility

July 2022 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2022

New reimbursement policy: Place of Service - Facility

July 2022 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections - Professional

July 2022 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59, XE, XP, XS, XU - professional

July 2022 Anthem Provider News - Kentucky Reimbursement Policies Jul 1, 2022

Keep up with Medicaid News - July 2022

- Prior authorization updates for medications billed under the medical benefit
July 2022 Anthem Provider News - Kentucky Medicaid Jul 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

July 2022 Anthem Provider News - Kentucky Medicaid Jul 1, 2022

Diabetes self-management education and support

July 2022 Anthem Provider News - Kentucky Medicaid Jul 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

July 2022 Anthem Provider News - Kentucky Medicare Jul 1, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 16, 2022

Exploring the Intersection of Race and Disability

Register today for the Exploring the Intersection of Race and Disability forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Kentucky Administrative Jun 8, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Provider News - Kentucky Medicare Jun 1, 2022

Forum: Exploring the Intersection of Race and Disability

June 2022 Anthem Provider News - Kentucky Administrative Jun 1, 2022

Updates to AIM musculoskeletal program: Monitored anesthesia care reviews

June 2022 Anthem Provider News - Kentucky Products & Programs Jun 1, 2022

Specialty pharmacy updates - June 2022

June 2022 Anthem Provider News - Kentucky Pharmacy Jun 1, 2022

Medical policy and clinical guideline updates - June 2022

June 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2022

Updated guidance on prior authorization requirements for admissions to in-network long-term acute care hospitals (LTACHs)

June 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM musculoskeletal clinical appropriateness guidelines

June 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM advanced imaging clinical appropriateness guidelines

June 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM sleep disorder management clinical appropriateness guidelines

June 2022 Anthem Provider News - Kentucky Medical Policy & Clinical Guidelines Jun 1, 2022

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

June 2022 Anthem Provider News - Kentucky Reimbursement Policies Jun 1, 2022

Process change for Federal Employee Program third-party correspondence requests

June 2022 Anthem Provider News - Kentucky Federal Employee Plan (FEP) Jun 1, 2022

Reimbursement policy update: Inpatient Readmissions

June 2022 Anthem Provider News - Kentucky Medicaid Jun 1, 2022

Keep up with Medicare News - June 2022

June 2022 Anthem Provider News - Kentucky Medicare Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Kentucky Medicare Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Kentucky Medicare Jun 1, 2022

Medical policies and clinical utilization management guidelines update

June 2022 Anthem Provider News - Kentucky Medicare Jun 1, 2022

Provider outreach to validate your provider data

June 2022 Anthem Provider News - Kentucky Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Provider News - Kentucky Administrative Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Provider News - Kentucky Administrative Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Kentucky Behavioral Health Jun 1, 2022

Keep up with Medicaid News - May 2022

- Medical drug benefit Clinical Criteria updates-March 2022 updates
- COVID-19 Vaccine Provider Incentive program ages 5+
May 2022 Anthem Provider News - Kentucky Medicaid May 1, 2022

Provider Pathways eLearning is here!

May 2022 Anthem Provider News - Kentucky Medicaid May 1, 2022

Reimbursement policy update: Corrected Claims

May 2022 Anthem Provider News - Kentucky Medicaid May 1, 2022

Screening for alcohol use disorder in high-prevalence demographics

May 2022 Anthem Provider News - Kentucky Medicaid May 1, 2022

Keep up with Medicare News - May 2022

- Anthem expands specialty pharmacy precertification list-March 2022 update
- Anthem expands specialty pharmacy precertification list-April 2022 update
- New specialty pharmacy medical step therapy requirements-May 2022 update
May 2022 Anthem Provider News - Kentucky Medicare May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News - Kentucky Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Provider News - Kentucky Medicare May 1, 2022
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