Nevada
Provider Communications

August 2022 Anthem Provider News - Nevada

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Title Category

New patient evaluation and management services when reported for the same patient within the last three years

Administrative

Timely updates help keep our provider directories current

Administrative

New provider manual available

Administrative

Reminder: inpatient/outpatient commercial claim denials

Administrative

Update: outpatient prepay itemized bill review program (MAC)

Material adverse change (MAC)
Administrative

Performance enhancements to the authorization application on Availity

Digital Tools

Introducing the Provider Learning Hub

Digital Tools

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

Digital Tools

Telehealth visits can impact after-hospitalization follow-up care for mental illness

Behavioral Health

Pharmacy information available on the provider website

Pharmacy

Specialty pharmacy updates (MAC)

Material adverse change (MAC)
Pharmacy

Nevada referral management policy

Policy Updates

Keep up with Medicare news

Medicare Advantage

Medical drug benefit Clinical Criteria updates

Medicare

Chlamydia screening

Medicaid
Medicaid

Using SBIRT to address opioid and substance use disorders

Medicaid
Medicaid

The cost of alcohol use disorder

Medicaid
Medicaid

Keep up with Medicaid news

Medicaid

Medical drug benefit Clinical Criteria updates

Residential treatment center services

Medicaid

Prior authorization requirement changes effective November 1, 2022

Medicaid
Medicaid
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