September 1, 2019
September 2019 Anthem Provider News - Missouri
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Administrative
CommercialSeptember 1, 2019
Reminder: Changes to timely filing requirements coming in OctoberCommercialSeptember 1, 2019
PCP after-hours access requirementsCommercialSeptember 1, 2019
Claims requiring additional documentation facility reimbursement policy updateCommercialSeptember 1, 2019
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening nowCommercialSeptember 1, 2019
Anthem launches Sydney on September 1; new app offers better digital health care support to membersCommercialSeptember 1, 2019
Provider Transparency UpdateBehavioral Health
CommercialSeptember 1, 2019
Access requirements for behavioral health care servicesPolicy Updates
CommercialSeptember 1, 2019
Clinical Guideline Updates -- September 2019*CommercialSeptember 1, 2019
New Reimbursement Policies: Maternity Services and Multiple Delivery - Professional*CommercialSeptember 1, 2019
Claim editing update for Excludes1 notesCommercialSeptember 1, 2019
New Reimbursement Policy: Intensity Modulated Radiation Therapy Planning and Delivery - Professional*Products & Programs
CommercialSeptember 1, 2019
Clinical criteria and prior authorization updates for specialty pharmacy are available*State & Federal
Medicare AdvantageSeptember 1, 2019
Pharmacy benefit manager change to IngenioRxMedicare AdvantageSeptember 1, 2019
Changes to prior authorization (PA) requirementsMedicare AdvantageSeptember 1, 2019
Customizations to the 23rd edition of the MCG Care GuidelinesMedicare AdvantageSeptember 1, 2019
Clinical Criteria updatesMedicare AdvantageSeptember 1, 2019
Coming soon: Electronic attachmentsMedicare AdvantageSeptember 1, 2019
Medicare News -- September 2019To view this publication online:
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