CommercialDecember 30, 2022
January 2023 Anthem Provider News - Missouri
Administrative
CommercialDecember 30, 2022
Professional system updates for 2023CommercialDecember 30, 2022
Outpatient system updates for 2023CommercialMedicare AdvantageDecember 30, 2022
Notification regarding reimbursement changes to COVID-19 laboratory services codesCommercialMedicare AdvantageDecember 30, 2022
Engagement with your patient countsCommercialMedicare AdvantageDecember 30, 2022
Childhood Immunization Status and Lead Screening in Children for HEDISCommercialDecember 30, 2022
Remittance advice message enhancements: Providing clear descriptions and actionable next stepsCommercialDecember 30, 2022
Submitting prior authorizations digitally through Interactive Care ReviewerPolicy Updates
CommercialMedicare AdvantageDecember 30, 2022
Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness GuidelinesCommercialDecember 30, 2022
Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code ListCommercialDecember 30, 2022
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list updateCommercialDecember 30, 2022
Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness GuidelinesCommercialMedicare AdvantageDecember 30, 2022
Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness GuidelinesCommercialDecember 30, 2022
Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse changeCommercialDecember 30, 2022
Outpatient facility revenue code billing requirementsProducts & Programs
CommercialDecember 30, 2022
Federal Employee Program observation conversion for musculoskeletal casesCommercialDecember 30, 2022
Specialty pharmacy updatesState & Federal
Medicare AdvantageDecember 30, 2022
Keep up with Medicare news - January 2023- Prior authorization requirement changes
- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
Medicare AdvantageDecember 30, 2022
Cleveland-Cliffs offers Medicare Advantage optionTo view this publication online:
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