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Medicare AdvantageMay 1, 2023
Genetic testingMedicare AdvantageMay 1, 2023
Did your patient have a recent fracture?Medicare AdvantageMarch 31, 2023
Keep up with Medicare News - April 2023- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Imjudo, Pedmark, Tecvayli, Tzield, Vegzelma)
- Blue Cross and Blue Shield expands specialty pharmacy precertification list (Elahere)
- New specialty pharmacy medical step therapy requirements (Avastin, Byooviz, Cimerli, Eylea, Lucentis, Vabysmo)
- Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health)
- Clinical Criteria updates
Medicare AdvantageMarch 31, 2023
E-visitsMedicare AdvantageMarch 1, 2023
Keep up with Medicare News - March 2023- Carelon Medical Benefits Management, Inc. Genetic Testing Clinical Appropriateness Guidelines CPT code list update
- What date to select for inpatient admissions for claims
- Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Neulasta, Neulasta OnPro, Udenyca)
- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
Medicare AdvantageMarch 1, 2023
Shared savings and transition care management after inpatient dischargesMedicare AdvantageMarch 1, 2023
Informational Update Modifier UsageMedicare AdvantageMarch 1, 2023
Annual planned visitsMedicare AdvantageJanuary 31, 2023
Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023Medicare AdvantageJanuary 31, 2023
Keep up with Medicare News - February 2023- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
Medicare AdvantageDecember 30, 2022
Keep up with Medicare news - January 2023- 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 optionMedicare AdvantageDecember 1, 2022
Keep up with Medicare News - December 2022- Medical Policies and Clinical Utilization Management Guidelines update
- Signature requirements for laboratory orders or requisitions
Medicare AdvantageDecember 1, 2022
2023 Medicare Advantage service area and benefit updatesMedicare AdvantageDecember 1, 2022
Personal home helper benefit endingMedicare AdvantageNovember 1, 2022
Keep up with Medicare News - November 2022- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
Medicare AdvantageNovember 1, 2022
Personalized MatchMedicare AdvantageNovember 1, 2022
Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification listMedicare AdvantageOctober 1, 2022
Courtesy notification of specialty pharmacy medical step therapy updatesMedicare AdvantageOctober 1, 2022
Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - ProfessionalMedicare AdvantageOctober 1, 2022
Keep up with Medicare News - October 2022- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- Anthem expands specialty pharmacy precertification list-1
- Anthem expands specialty pharmacy precertification list-2
- Consultation codes
Medicare AdvantageSeptember 1, 2022
Enhancing claims attachment processes through digital applicationsMedicare AdvantageSeptember 1, 2022
Keep up with Medicare News - September 2022- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
Medicare AdvantageSeptember 1, 2022
Prior authorization requirement changes effective December 1, 2022Medicare AdvantageSeptember 1, 2022
Reimbursement policy update: Modifiers 25 and 57 - Evaluation and Management with Global ProceduresMedicare AdvantageSeptember 1, 2022
Anthem expands specialty pharmacy precertification listMedicare AdvantageSeptember 1, 2022
Reminder: AIM prior authorization phone number change for MedicareMedicare AdvantageAugust 1, 2022
Keep up with Medicare News - August 2022Medicare AdvantageJuly 1, 2022
Cancer Care NavigatorMedicare AdvantageJuly 1, 2022
Keep up with Medicare News - July 2022Medicare AdvantageJune 1, 2022
Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelinesMedicare AdvantageJune 1, 2022
Medical policies and clinical utilization management guidelines updateMedicare AdvantageJune 1, 2022
Medical drug benefit clinical criteria updatesMedicare AdvantageJune 1, 2022
Evaluation and management services for COVID testing - professionalMedicare AdvantageJune 1, 2022
Keep up with Medicare News - June 2022Medicare AdvantageMay 1, 2022
New specialty pharmacy medical step therapy requirements-March 2022 updateMedicare AdvantageMay 1, 2022
Convenient, reliable at-home testing for colorectal cancer and diabetes careMedicare AdvantageMay 1, 2022
Keep up with Medicare News - May 2022- Anthem expands specialty pharmacy precertification list-April 2022 update
- New specialty pharmacy medical step therapy requirements-May 2022 update
Medicare AdvantageApril 1, 2022
Model of Care required trainingMedicare AdvantageApril 1, 2022
Evaluation and management documentation guidelinesMedicare AdvantageApril 1, 2022
Clinical Criteria updatesMedicare AdvantageApril 1, 2022
The impact of listeningMedicare AdvantageApril 1, 2022
Reimbursement policy update: Inpatient readmissionsMedicare AdvantageApril 1, 2022
Keep up with Medicare News - April 2022- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list