Maine
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Bundled Services Reimbursement Policy update - professional

August 2019 Anthem Maine Provider News Reimbursement Policies Aug 1, 2019

Frequency Editing Reimbursement Policy update - professional

August 2019 Anthem Maine Provider News Reimbursement Policies Aug 1, 2019

Medical policy updates are available on anthem.com

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical guideline updates are available on anthem.com

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical criteria updates for specialty pharmacy

August 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Un-adopted clinical guidelines effective June 1, 2019

July 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

New Reimbursement Policy - Ambulance Transportation - professional

June 2019 Anthem Maine Provider Newsletter Reimbursement Policies Jun 1, 2019

Medical policy updates are available on anthem.com

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Coding Updates

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical guideline updates are available on anthem.com

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Coding Updates

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

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

June 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Medical policy updates are available on anthem.com

May 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Clinical guideline updates are available on anthem.com

May 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Maine Provider Newsletter Reimbursement Policies Apr 1, 2019

New Partial Hospitalization Program and Intensive Outpatient Program Services Facility Reimbursement Policy

April 2019 Anthem Maine Provider Newsletter Reimbursement Policies Apr 1, 2019

Injectable Substances with Related Injection Services reimbursement policy update: professional

February 2019 Anthem Maine Provider Newsletter Reimbursement Policies Feb 1, 2019

Body Mass Index reimbursement policy: facility

February 2019 Anthem Maine Provider Newsletter Reimbursement Policies Feb 1, 2019

Significant Edits: professional

February 2019 Anthem Maine Provider Newsletter Reimbursement Policies Feb 1, 2019

Clinical guideline updates are available on anthem.com

February 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Maine Provider Newsletter Reimbursement Policies Jan 1, 2019

Medical policy updates are available on anthem.com

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Clinical guideline updates are available on anthem.com

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Update on clinical guideline communication in October 2018 provider newsletter

January 2019 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

Bundled Services and Supplies: professional

December 2018 Anthem Maine Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for convenience surgical supply kits: professional

December 2018 Anthem Maine Provider Newsletter Reimbursement Policies Dec 1, 2018

Scope of License reimbursement policy update: professional

December 2018 Anthem Maine Provider Newsletter Reimbursement Policies Dec 1, 2018

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services: professional

December 2018 Anthem Maine Provider Newsletter Reimbursement Policies Dec 1, 2018

System updates for 2019: professional

December 2018 Anthem Maine Provider Newsletter Reimbursement Policies Dec 1, 2018

Modifier 79: Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional during the Postoperative Period: professional

December 2018 Anthem Maine Provider Newsletter Reimbursement Policies Dec 1, 2018

Medical policy updates are available on anthem.com

December 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Clinical guideline updates are available on anthem.com

December 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Update on clinical guideline communication in October 2018 provider newsletter

December 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

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

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Routine Obstetrical Services update: professional

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Multiple Diagnostic Imaging Reimbursement Policy update: facility

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Readmissions Reimbursement Policy update: facility

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

New Facility Revenue Code Billing Reimbursement Policy

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Medical policy updates are available on anthem.com

October 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Clinical guideline updates are available on anthem.com

October 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Assistant Surgeon Coding update: professional

October 2018 Anthem Maine Provider Newsletter Reimbursement Policies Oct 1, 2018

Claims requiring additional documentation facility reimbursement policy update

September 2018 Anthem Maine Network eUpdate Reimbursement Policies Aug 30, 2018

Bundled Services and Supplies - professional

August 2018 Anthem Maine Provider Newsletter Reimbursement Policies Aug 1, 2018

Once per Lifetime Procedures - professional

August 2018 Anthem Maine Provider Newsletter Reimbursement Policies Aug 1, 2018

Medical policy updates are available on anthem.com

August 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Clinical guideline updates are available on anthem.com

August 2018 Anthem Maine Provider Newsletter Medical Policy & Clinical Guidelines Aug 1, 2018

Medical policy and clinical guidelines updates are available on anthem.com

June 2018 Maine newsletter Medical Policy & Clinical Guidelines Jun 22, 2018

Durable Medical Equipment professional reimbursement policy reminders

June 2018 Maine newsletter Reimbursement Policies Jun 22, 2018

Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy update

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018

Cervical Cancer Screening using Cytology and Human Papillomavirus Testing (CG-MED-43) not implemented

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018

Review of reimbursement policies – professional

June 2018 Maine newsletter Reimbursement Policies Jun 19, 2018
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