Missouri
Provider Communications

January 2021 Anthem Provider News - Missouri

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Title Category

IngenioRx introduces new pharmacy network in 2021

Pharmacy

Prior authorization updates for specialty pharmacy are available - January 2021

Pharmacy

It is almost CAHPS survey time!

Administrative

Evaluation and management changes 2021

Administrative

Outpatient system updates for 2021 - Facility

Administrative

Professional system updates for 2021

Administrative

New features added to Interactive Care Reviewer

Administrative

Availity attachment tools for Anthem and affiliate payers - Live webinars

Administrative

Self-service, digital transactions are fast and easy

Administrative

Medical Policy and Clinical Guideline Updates - January 2021

Medical Policy & Clinical Guidelines

MCG Care Guidelines 24th Edition Customization

Medical Policy & Clinical Guidelines

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional

Reimbursement Policies

Reimbursement policy update: Frequency editing - Professional

Reimbursement Policies

Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional

Reimbursement Policies

Reimbursement policy update: Modifier Rules - Professional

Reimbursement Policies

Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional

Reimbursement Policies

2021 FEP® benefit information available online

Federal Employee Plan (FEP)

Keep up with Medicare news - January 2021

View these Medicare articles:
- Medicare Advantage Group Retiree Quick Reference Guide and FAQ
- Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ
- SNF admission reporting requirements for D-SNP plans
- Policy Update: Nurse Practitioner and Physician Assistant Services – Professional
- Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology
Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Updates to AIM clinical appropriateness guidelines for Advanced Imaging

Medicare

Updates to AIM Specialty Health Cardiac clinical appropriateness guidelines

Medicare

Medical drug benefit clinical criteria updates

Medicare
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