Nevada
Provider Communications

Provider Spotlight

Jul 29, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!


Articles Recent

Title Publication Category Date

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!
Clinical Quality CME Webinar Series Continues - Nevada Administrative Jul 29, 2021

Continuing Medical Education (CME) webinar series

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for international normalized ratio

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Another mark of the pandemic: an increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors.
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

We want to help.
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Drug fee schedule update

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Important update to provider utilization management reimbursement penalties and corresponding entry in our provider manual

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Nevada Products & Programs Jul 1, 2021

REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviews

July 2021 Anthem Provider News - Nevada Products & Programs Jul 1, 2021

How to enroll in electronic fund transfer (EFT) for faster remittance

July 2021 Anthem Provider News - Nevada Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News - Nevada Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News - Nevada Digital Tools Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Pharmacy Jul 1, 2021

New reimbursement policy: Non-Patient Laboratory Services (facility)

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Consultations (professional)

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2021

New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Let’s Vaccinate

Medicare Advantage: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

March 2021 medical drug benefit clinical criteria updates

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Keep up with Medicare news

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

New policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Coding spotlight: mental disorders in childhood

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Keeping up with routine vaccination during COVID-19

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

What matters most: improving the patient experience

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Resources to support your diverse patient panel

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Correction to a prior authorization update

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Complex case management program

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Important information about utilization management

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Medical policies and clinical utilization management guidelines update

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Members’ rights and responsibilities statement

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Anthem Blue Cross and Blue Shield Healthcare Solutions in Nevada provider spotlight

Medicaid: Doluce David Ezeanolue, MD
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021: UM AROW 1327

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Let’s Vaccinate

Medicaid: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021: UM AROW 1837

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Behavioral health areas of expertise profile survey

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Keep up with Medicaid news

Medicaid
July 2021 Anthem Provider News - Nevada Medicaid Jul 1, 2021

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Information from Anthem for Care Providers about COVID-19 (Updated June 10, 2021)

We recently updated information about coverage and cost shares for telephonic-only care.
COVID-19 Information - Nevada Administrative Jun 10, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Essential information you need to submit EDI corrected claims

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

New digital provider enrollment tool added to Availity for Nevada

June 2021 Anthem Provider News - Nevada Digital Tools Jun 1, 2021

Let’s Vaccinate!

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
June 2021 Anthem Provider News - Nevada Products & Programs Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Provider News - Nevada Pharmacy Jun 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Pharmacy Jun 1, 2021

Keep your contact information current

June 2021 Anthem Provider News - Nevada Administrative Jun 1, 2021

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Anthem Provider News - Nevada Administrative Jun 1, 2021

Regular check-ins with your clearinghouse could affect timely filing

June 2021 Anthem Provider News - Nevada Administrative Jun 1, 2021

Change notification to medical policies and clinical utilization management guidelines

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM advanced imaging clinical appropriateness guideline

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM musculoskeletal program clinical appropriateness guidelines

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2021

Reimbursement policy update: Emergency Department: Leveling of Evaluation and Management Services (facility)

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2021

Evaluation and management services correct coding (professional)

Material adverse change (MAC)
June 2021 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2021

Anthem to enhance claim edits for outpatient facility claims

June 2021 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jun 1, 2021

Continuing medical education/Continuing education unit opportunities

June 2021 Anthem Provider News - Nevada Medicaid Jun 1, 2021

Provider education program survey: Your voice counts!

June 2021 Anthem Provider News - Nevada Medicaid Jun 1, 2021

Aspire Health for Medicaid members in need of palliative care

June 2021 Anthem Provider News - Nevada Medicaid Jun 1, 2021

MCG care guidelines 25th edition

June 2021 Anthem Provider News - Nevada Medicaid Jun 1, 2021

Keep up with Medicaid news

June 2021 Anthem Provider News - Nevada Medicaid Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Provider News - Nevada Medicare Jun 1, 2021

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

June 2021 Anthem Provider News - Nevada Medicare Jun 1, 2021

MCG care guidelines 25th edition

June 2021 Anthem Provider News - Nevada Medicare Jun 1, 2021

Keep up with Medicare news

June 2021 Anthem Provider News - Nevada Medicare Jun 1, 2021

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!



Clinical Quality CME Webinar Series - Nevada Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and implicit bias.
Deconstructing Bias Forum invitation for Nevada providers Administrative May 21, 2021

Reminder Guided Access HMO effective January 1, 2020 Clark, Nye/Expanded to Washoe January 1, 2021

May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) Enhanced Reimbursement to begin July 1, 2021

May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Updated AIM Rehabilitative program effective August 1, 2021 – Initial Evaluations and Site of Service reviews (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Products & Programs May 1, 2021

Updates for Specialty pharmacy effective August 1, 2021 (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Pharmacy May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

May is National High Blood Pressure Education Month

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Non-participating lab referrals

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments

Electronic Solutions @ Your Fingertips
May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Send larger digital attachments through Availity

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Appointment scheduler application

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Referring to network DME providers for Negative Pressure Wound Therapy helps members save on out-of-pocket costs

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

2021 Affirmative Statement Regarding Utilization Management Decisions

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Update to AIM Specialty Health Oncologic Imaging Clinical Appropriateness Guidelines

May 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines May 1, 2021

Reimbursement policy reminder: Readmission (Facility)

May 2021 Anthem Provider News - Nevada Reimbursement Policies May 1, 2021

Reimbursement policy update: Frequency Editing (Professional)

May 2021 Anthem Provider News - Nevada Reimbursement Policies May 1, 2021

Reimbursement policy update: Claims Requiring Additional Documentation (Facility) (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News - Nevada Reimbursement Policies May 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Foundations Counseling Center

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Updates to the AIM Advanced Imaging Clinical Appropriateness Guidelines

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Keep up with Medicaid news

May 2021 Anthem Provider News - Nevada Medicaid May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News - Nevada Medicare May 1, 2021

Keep up with Medicare news

May 2021 Anthem Provider News - Nevada Medicare May 1, 2021

UPDATE--Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Products & Programs Apr 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Provider News and Important Updates -- Nevada Pharmacy Apr 1, 2021

Change Notification to Provider and Facility Manual effective July 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News and Important Updates -- Nevada Administrative Apr 1, 2021
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