Missouri
Provider Communications

Articles

Title Publication Category Date

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

September 2018 Anthem Missouri eUpdate Reimbursement Policies Aug 30, 2018

Integrated Medical and Behavioral Healthcare Services Billing

October 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Sep 28, 2018

Tips for billing CPT modifier 33

October 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Sep 28, 2018

New Reimbursement Policy - Facility Revenue Code Billing

October 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Sep 28, 2018

Reimbursement Policy Update - Readmissions (Facility)

October 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Sep 28, 2018

View reimbursement policies online at anthem.com

October 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Sep 28, 2018

Bundled Services and Supplies (Professional)

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for Convenience Surgical Supply Kits: Professional

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

View reimbursement policies online at anthem.com

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Updates - December 2018

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Update - Scope of License (Professional)

December 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Dec 1, 2018

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Anthem Missouri Provider Newsletter Reimbursement Policies Jan 1, 2019

Update regarding E/M with modifier 25 - Professional*

February 2019 Anthem Missouri Provider Newsletter Reimbursement Policies Feb 1, 2019

Reimbursement Policy Updates: February 2019*

February 2019 Anthem Missouri Provider Newsletter Reimbursement Policies Feb 1, 2019

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

February 2019 Anthem Missouri Provider Newsletter Reimbursement Policies Feb 1, 2019

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

April 2019 Anthem Provider Newsletter - Missouri Reimbursement Policies Apr 1, 2019

Update: Drug Screen Testing - Professional*

May 2019 Anthem Provider Newsletter - Missouri Reimbursement Policies May 1, 2019

New Reimbursement Policy: Ambulance Transportation -- Professional*

June 2019 Anthem Provider Newsletter - Missouri Reimbursement Policies Jun 1, 2019

Reimbursement Policy Update: Frequency Editing -- Professional*

June 2019 Anthem Provider Newsletter - Missouri Reimbursement Policies Jun 1, 2019

Clinical Validation: Professional*

July 2019 Anthem Provider News - Missouri Reimbursement Policies Jul 1, 2019

Modifier 79 reminder: Professional

July 2019 Anthem Provider News - Missouri Reimbursement Policies Jul 1, 2019

Modifier 63 reminder: Professional

July 2019 Anthem Provider News - Missouri Reimbursement Policies Jul 1, 2019

ICD-10-CM Coding Guidelines and Laterality: Professional

July 2019 Anthem Provider News - Missouri Reimbursement Policies Jul 1, 2019

Reimbursement Policy Update: Bundled Services-Professional*

August 2019 Anthem Provider News - Missouri Reimbursement Policies Aug 1, 2019

Reimbursement Policy Update: Frequency Editing-Professional*

August 2019 Anthem Provider News - Missouri Reimbursement Policies Aug 1, 2019

New Reimbursement Policies: Maternity Services and Multiple Delivery - Professional*

September 2019 Anthem Provider News - Missouri Reimbursement Policies Sep 1, 2019

New Reimbursement Policy: Intensity Modulated Radiation Therapy Planning and Delivery - Professional*

September 2019 Anthem Provider News - Missouri Reimbursement Policies Sep 1, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Missouri Reimbursement Policies Sep 1, 2019

Reimbursement Policy update: Place of Service- Professional

October 2019 Anthem Provider News - Missouri Reimbursement Policies Oct 1, 2019

New Reimbursement Policies: Durable Medical Equipment, Rent to Purchase Durable Medical Equipment, and Modifiers (Professional)

December 2019 Anthem Provider News - Missouri Reimbursement Policies Dec 1, 2019

System updates for 2020 (Professional)

December 2019 Anthem Provider News - Missouri Reimbursement Policies Dec 1, 2019

Outpatient Facility Edit Implementation*

January 2020 Anthem Provider News - Missouri Reimbursement Policies Jan 1, 2020

Update to AIM Specialty Health clinical appropriateness guidelines

October 2018 Anthem Missouri Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 Anthem Missouri Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 Anthem Missouri Provider Newsletter Products & Programs Sep 28, 2018

Anthem fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Missouri Provider Newsletter Products & Programs Sep 28, 2018

Health Care Reform (including Health Insurance Exchange) Updates and Notifications

October 2018 Anthem Missouri Provider Newsletter Products & Programs Sep 28, 2018

New AIM Rehabilitative program effective July 1, 2019

April 2019 Anthem Provider Newsletter - Missouri Products & Programs Apr 1, 2019

Reminder and update: new Rehabilitative Program effective July 1, 2019

June 2019 Anthem Provider Newsletter - Missouri Products & Programs Jun 1, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019

Anthem Missouri UPDATE: new Rehabilitative Program now effective August 1, 2019 Products & Programs Jul 3, 2019

UPDATE: New Rehabilitative Program remains temporarily delayed

Anthem Missouri UPDATE: New Rehabilitative Program remains temporarily delayed Products & Programs Jul 16, 2019

UPDATE: new AIM Rehabilitative Program will begin November 1, 2019

October 2019 Anthem Provider News - Missouri Products & Programs Oct 1, 2019

REMINDER: new AIM Rehabilitative Program effective November 1, 2019

November 2019 Anthem Provider News - Missouri Products & Programs Nov 1, 2019

Reminder: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Provider News - Missouri Products & Programs Dec 1, 2019

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News - Missouri Products & Programs Jan 1, 2020

Access patient-specific drug benefit information through EMR

October 2018 Anthem Missouri Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy prior authorization list

October 2018 Anthem Missouri Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Anthem Missouri Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy clinically equivalent drug list

October 2018 Anthem Missouri Provider Newsletter Pharmacy Sep 28, 2018

Pharmacy information available at anthem.com

October 2018 Anthem Missouri Provider Newsletter Pharmacy Sep 28, 2018

Anthem Accepts Electronic Prior Authorization Requests for Prescription Medications Online

December 2018 Anthem Missouri Provider Newsletter Pharmacy Dec 1, 2018

Introducing the New Clinical Criteria Page for Injectable, Infused or Implanted Drugs

December 2018 Anthem Missouri Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy Information Available at anthem.com

December 2018 Anthem Missouri Provider Newsletter Pharmacy Dec 1, 2018

Simplifying medication prior authorization processes

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Eligible facilities to bill modifiers JG and TB on 340B drugs

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Pharmacy information available at anthem.com

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Missouri Provider Newsletter Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list*

February 2019 Anthem Missouri Provider Newsletter Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list*

February 2019 Anthem Missouri Provider Newsletter Pharmacy Feb 1, 2019

Pharmacy information available at anthem.com

April 2019 Anthem Provider Newsletter - Missouri Pharmacy Feb 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - Missouri Pharmacy Mar 1, 2019

Important update to Anthem’s commercial drug lists

March 2019 Anthem Provider Newsletter - Missouri Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Missouri Pharmacy Mar 1, 2019

Important reminder regarding specialty pharmacy clinical site of care program

March 2019 Anthem Provider Newsletter - Missouri Pharmacy Mar 1, 2019

Anthem expands specialty pharmacy prior authorization list*

April 2019 Anthem Provider Newsletter - Missouri Pharmacy Apr 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema*

May 2019 Anthem Provider Newsletter - Missouri Pharmacy May 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents*

May 2019 Anthem Provider Newsletter - Missouri Pharmacy May 1, 2019

Pharmacy information available at anthem.com

June 2019 Anthem Provider Newsletter - Missouri Pharmacy May 1, 2019

Anthem expands specialty pharmacy prior authorization list*

June 2019 Anthem Provider Newsletter - Missouri Pharmacy Jun 1, 2019

Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

June 2019 Anthem Provider Newsletter - Missouri Pharmacy Jun 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News - Missouri Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News - Missouri Pharmacy Jul 1, 2019

Clinical criteria and prior authorization updates for specialty pharmacy are available*

August 2019 Anthem Provider News - Missouri Pharmacy Aug 1, 2019

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

August 2019 Anthem Provider News - Missouri Pharmacy Aug 1, 2019

Pharmacy information available at anthem.com

August 2019 Anthem Provider News - Missouri Pharmacy Aug 1, 2019

Clinical criteria and prior authorization updates for specialty pharmacy are available*

September 2019 Anthem Provider News - Missouri Pharmacy Sep 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Provider News - Missouri Pharmacy Oct 1, 2019

Anthem specialty pharmacy medical step therapy drug list- clarification

October 2019 Anthem Provider News - Missouri Pharmacy Oct 1, 2019

Pharmacy information available at anthem.com

October 2019 Anthem Provider News - Missouri Pharmacy Oct 1, 2019

Anthem clinical criteria and prior authorization updates for specialty pharmacy are available*

November 2019 Anthem Provider News - Missouri Pharmacy Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Provider News - Missouri Pharmacy Nov 1, 2019

Pharmacy information available at anthem.com

December 2019 Anthem Provider News - Missouri Pharmacy Dec 1, 2019

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News - Missouri Pharmacy Feb 1, 2020

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Missouri Provider Newsletter Medicare Sep 28, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Missouri Provider Newsletter Medicare Sep 28, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Missouri Provider Newsletter Medicare Sep 28, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Missouri Provider Newsletter Medicare Sep 28, 2018

Keep up with Medicare news

October 2018 Anthem Missouri Provider Newsletter Medicare Sep 28, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

Anthem offers risk adjustment and documentation training

January 2019 Anthem Missouri Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Missouri Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Missouri Provider Newsletter Medicare Jan 1, 2019
Page 1 of 4 Next Page