Maine
Provider Communications

June 2019 Anthem Maine Provider Newsletter

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Title Category

Reminder and update: new Rehabilitative Program effective July 1, 2019

Products & Programs

AIM programs may require additional prior authorization documentation

Products & Programs

Medical non-oncology specialty drug review changes effective June 15, 2019

Pharmacy

Specialty pharmacy pre-service clinical review list expanded effective September 1, 2019

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Introducing Anthem’s Maine HMO Tiered Options

Administrative

Additional changes launched to anthem.com for Q2

Administrative

Find a Doctor - new sort option

Administrative

Electronic attachments coming soon

Administrative

Sepsis coding update

Administrative

Commercial Risk Adjustment (CRA) reporting update: Retrospective Program begins; benefits of direct connection access to your EMR

Administrative

Adult BMI Assessment

Administrative

Misrouted protected health information (PHI)

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

New Reimbursement Policy - Ambulance Transportation - professional

Reimbursement Policies

Frequency Editing - professional

Reimbursement Policies

Medical policy updates are available on anthem.com

Medical Policy & Clinical Guidelines

Coding Updates

Medical Policy & Clinical Guidelines

Clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

Coding Updates

Medical Policy & Clinical Guidelines

Clinical Guideline CG-ANC-07 effective September 1, 2019

Medical Policy & Clinical Guidelines

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

Medicare

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

Medicare

Keep up with Medicare news

Medicare
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