Maine
Provider Communications

October 2018 Anthem Maine Provider Newsletter

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Title Category

AIM Specialty Health radiation oncology clinical guidelines updates

Products & Programs

AIM Specialty Health clinical guidelines update: advanced imaging of the heart

Products & Programs

AIM Specialty Health sleep disorder management clinical guidelines update

Products & Programs

Anthem fights opioid addiction

Products & Programs

Integrated Medical and Behavioral Healthcare Services

Behavioral Health

LiveHealth Online Psychology: easy access to therapists and psychologists from the comfort of home

Behavioral Health

Access patient-specific drug benefit information through EMR

Pharmacy

Prior authorization requests for prescription medications accepted online

Pharmacy

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

Pharmacy

Specialty pharmacy clinically equivalent drug list expanded effective January 1, 2019

Pharmacy

Specialty pharmacy level of care (clinical site of care) drug list expanded effective January 1, 2019

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Sign up today for provider eUpdates

Administrative

Additional changes to anthem.com to be launched in October

Administrative

Availity to provide EDI Gateway services

Administrative

Availity EDI Gateway webinars scheduled

Administrative

Explore new enhancements to Availity’s Education and Reference Center

Administrative

Are you looking for innovative ways to improve your patients’ experiences and earn CME credits?

Administrative

Tips for billing CPT modifier 33

Administrative

Special Investigations Unit updates: recent FDA warnings

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

HEDIS® 2018: provider incentive winners announced

Administrative

Durable medical equipment update effective October 14, 2018

Administrative

Assistant Surgeon Coding update: professional

Reimbursement Policies

Documentation and Reporting Guidelines for E/M Services update: professional

Reimbursement Policies

Routine Obstetrical Services update: professional

Reimbursement Policies

Multiple Diagnostic Imaging Reimbursement Policy update: facility

Reimbursement Policies

Readmissions Reimbursement Policy update: facility

Reimbursement Policies

New Facility Revenue Code Billing Reimbursement Policy

Reimbursement Policies

Medical policy updates are available on anthem.com

Medical Policy & Clinical Guidelines

Clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

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

Medicare

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

Medicare

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

Medicare

Medicare pharmacy and prescriber home starts January 2019

Medicare

Keep up with Medicare news

Medicare
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