Missouri
Provider Communications

Articles

Title Publication Category Date

Why do patients stop taking their prescribed medications and what can you do to help them?

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

Why do patients stop taking their prescribed medications and what can you do to help them?

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

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Missouri Provider Newsletter Medicare Dec 1, 2018

What’s New 2019 Webinars

Sign up for a webinar to find out what's new at Anthem
Feb. 19, 2019 Anthem Network eUpdate - Missouri Administrative Feb 19, 2019

What’s New 2019 Webinars

Sign up for a webinar to find out what's new at Anthem
March 2019 Anthem Provider Newsletter - Missouri Administrative Mar 1, 2019

View reimbursement policies online at anthem.com

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

View reimbursement policies online at anthem.com

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

Verifying and updating your provider information

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

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Anthem Missouri Provider Newsletter Administrative Dec 1, 2018

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Missouri Provider Newsletter Medicare Feb 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News - Missouri Federal Employee Plan (FEP) Oct 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Missouri Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

July 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jul 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

August 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2020

Updated Provider Manual posted to anthem.com

October 2018 Anthem Missouri Provider Newsletter Administrative Sep 28, 2018

Updated Provider Manual now available

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

Update: Sepsis Coding

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

UPDATE: New Rehabilitative Program remains temporarily delayed

Anthem Missouri UPDATE: New Rehabilitative Program remains temporarily delayed Products & Programs Jul 16, 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 AIM Rehabilitative Program will begin November 1, 2019

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

Update: Drug Screen Testing - Professional*

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

Update: 2019 risk adjustment provider trainings

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

Update to Provider UM reimbursement penalties and corresponding update to Provider Manual*

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

Update to Durable Medical Equipment - effective October 14, 2018

November 2018 Anthem Missouri Network eUpdate Administrative Oct 12, 2018

Update to AIM Specialty Health sleep disorder management 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 clinical appropriateness guidelines

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

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2019 Anthem Missouri Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Missouri Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update regarding evaluation and management with modifier 25

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

Update regarding E/M with modifier 25 - Professional*

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

Update regarding drugs not approved by the FDA

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Tips for billing CPT modifier 33

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

The New Year brings New ID Cards for many Anthem members

January 2020 Anthem Provider News - Missouri Administrative Jan 1, 2020

System updates for 2020 (Professional)

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

Submit electronic SOAP notes today using ePASS® and receive $100 each

September 2018 Anthem Missouri eUpdate Administrative Aug 30, 2018

Special needs plans - provider training required

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

Special Investigations Unit (SUI) Updates: FDA Warnings

October 2018 Anthem Missouri Provider Newsletter Administrative Sep 28, 2018

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

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

Simplifying medication prior authorization processes

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Shine Light on Depression

February 2020 Anthem Provider News - Missouri Behavioral Health Feb 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Missouri Medicare Jan 1, 2020

Sepsis diagnosis coding and billing reminder

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

Review of professional claims with emergency room level 5 E/M codes

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

Review of professional claims with emergency department level 5 E&M codes

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

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity portal

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

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Missouri Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Reminder: New AIM Rehabilitative Program effective November 1, 2019

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

REMINDER: new AIM Rehabilitative Program effective November 1, 2019

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

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Missouri Medicare Jan 1, 2020

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

Reminder: Correspondence must include a valid Anthem member ID number

November 2018 Anthem Missouri Network eUpdate Administrative Nov 1, 2018

Reminder: Changes to timely filing requirements coming in October

September 2019 Anthem Provider News - Missouri Administrative Sep 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

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Missouri Provider Newsletter Medicare Feb 1, 2019

Reminder to providers: Fee schedule information

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

Reminder to Medicare Advantage providers

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

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

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

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

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

Reimbursement Policy Updates: February 2019*

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

Reimbursement Policy Updates - December 2018

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

Reimbursement Policy update: Place of Service- Professional

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

Reimbursement Policy Update: Modifier 62: Co-Surgeons

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

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

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

Reimbursement Policy Update: Frequency Editing-Professional*

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

Reimbursement Policy Update: Frequency Editing -- Professional*

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

Reimbursement Policy Update: Bundled Services-Professional*

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

Reimbursement Policy Update - Scope of License (Professional)

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

Reimbursement Policy Update - Readmissions (Facility)

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

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

September 2018 Anthem Missouri eUpdate Reimbursement Policies Aug 30, 2018

Reimbursement for Convenience Surgical Supply Kits: Professional

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

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

January 2020 Anthem Provider News - Missouri Administrative Jan 1, 2020

Provider Transparency Update

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

Provider Transparency Update

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

Provider training series

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

Prior authorization requirements changes effective November 1, 2019

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

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

February 2019 Anthem Missouri Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Pre-certification information for the Federal Employee Program

October 2019 Anthem Provider News - Missouri Federal Employee Plan (FEP) Oct 1, 2019

Postponed: Review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem Provider News - Missouri Administrative Jan 1, 2020

Postponed -- Review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem Provider News - Missouri Medicare Jan 1, 2020

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

October 2018 Anthem Missouri Provider Newsletter Medicare Sep 28, 2018

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

October 2018 Anthem Missouri Provider Newsletter Pharmacy Sep 28, 2018

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

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

Pharmacy Information Available at anthem.com

December 2018 Anthem Missouri Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available at anthem.com

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019
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