Nevada
Provider Communications

January 2020 Anthem Provider News and Important Updates - Nevada

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Title Category

Western Pathology Consultants is no longer a Participating Provider

Administrative

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

Administrative

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

Administrative

Upcoming retirement planned for legacy Medical Attachment submission tool

Administrative

Let us help you accomplish your 2020 “To Do” list early – EDI Migration

Administrative

New Year brings new ID cards for many Anthem members

Administrative

Drug fee schedule update

Administrative

Important Update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Outpatient facility edit implementation effective April 26, 2020 (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

2020 FEP® Benefit information available online

Federal Employee Plan (FEP)

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

Medicare

Help protect your patients by providing medical ID protection -- best practices

Medicare

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

Medicare

Medical drug benefit Clinical Criteria updates – October 2019

Medicare

Medical drug benefit Clinical Criteria updates – November 2019

Medicare

Healthcare Quality Patient Assessment Form and Patient Assessment Form

Medicare

Barrick Gold offers Medicare Advantage option

Medicare

Keep up with Medicare news

Medicare

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

Medicaid

Medical drug benefit Clinical Criteria updates

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid

Precertification Lookup Tool -- easy access to prior authorization guidelines on the Availity Portal

Medicaid

Coding Spotlight: Hypertension -- A providers’ guide for coding

Medicaid

Keep up with Medicaid news

Medicaid
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