Maine
Provider Communications

January 2023 Provider Newsletter - Maine

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Title Category

Notices of material changes/amendments to contract - January 2023

Administrative

Professional system updates for 2023

Administrative

Outpatient system updates for 2023

Administrative

Engagement with your patient counts

Administrative

Childhood Immunization Status and Lead Screening in Children for HEDIS

Administrative

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

Administrative

Anthem Blue Cross and Blue Shield local precertification change in Maine

Notice of material change/amendment to contract.
Administrative

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Notice of material change/amendment to contract.
Administrative

Attention lab providers: COVID-19 update regarding reimbursement

Notice of material change/amendment to contract.
Administrative

Outpatient facility revenue code billing requirements

Reimbursement Policies

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

Notice of material change/amendment to contract.
Medical Policy & Clinical Guidelines

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Notice of material change/amendment to contract.
Medical Policy & Clinical Guidelines

Medical policy and clinical guideline updates available on our provider website

Notice of material change/amendment to contract.
Medical Policy & Clinical Guidelines

Specialty pharmacy updates

Notice of material change/amendment to contract.
Pharmacy

Federal Employee Program observation conversion for musculoskeletal cases

Federal Employee Plan (FEP)

Engagement with your patient counts

Medicare

Attention lab providers: COVID-19 update regarding reimbursement

Medicare

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
Medicare
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