Missouri
Provider Communications

April 2019 Anthem Provider Newsletter - Missouri

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Title Category

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

Reimbursement Policies

New AIM Rehabilitative program effective July 1, 2019

Products & Programs

Anthem expands specialty pharmacy prior authorization list*

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

Update regarding evaluation and management with modifier 25

Medicare

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

Medicare

Ozarks Schools Benefits Association, MO moves to Anthem Medicare Advantage plan

Medicare

Keep up with Medicare news - April 2019

Medicare

Medical Policy and Clinical Guidelines Updates - April 2019*

Medical Policy & Clinical Guidelines

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

Medical Policy & Clinical Guidelines

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: April 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

New on Interactive Care Reviewer (ICR): Request Clinical Appeals

Administrative

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

Administrative

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

Administrative
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