Nevada
Provider Communications

December 2019 Anthem Provider News and Important Updates - Nevada

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Title Category

Coding Tip for Psychological and Neuropsychological Testing

Administrative

Pharmacy information available on anthem.com

Pharmacy

Verifying and updating your provider information

Administrative

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

Administrative

Non-participating lab referrals

Administrative

Case Management Program

Administrative

Coordination of Care

Administrative

Important Information about Utilization Management

Administrative

Members’ Rights and Responsibilities

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

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

Administrative

Medical Policy and Clinical UM Guidelines notification (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

System updates for 2020 (Professional)

Reimbursement Policies

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

Reimbursement Policies

Medical drug Clinical Criteria updates

Medicare

AIM Specialty Health programs may require documentation

Medicare

Coming soon: electronic attachments

Medicare

Keep up with Medicare news

Medicare

AIM Specialty Health programs may require documentation

Medicaid

Coming soon: electronic attachments

Medicaid

Medical drug Clinical Criteria updates

Medicaid

Keep up with Medicaid news

Medicaid
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