Nevada
Provider Communications

January 2021 Anthem Provider News and Important Updates -- Nevada

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Title Category

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

Material Adverse Change (MAC)
Pharmacy

IngenioRx Introduces New Pharmacy Network in 2021

Pharmacy

Availity Attachment Tools for Anthem and Affiliate Payers -- Live Webinars

Administrative

New features added to Interactive Care Reviewer

Administrative

Find out in minutes why your claim denied

Administrative

Self-service, digital transactions are fast and easy

Administrative

New Blue HPN® plans in effect

Administrative

Evaluation and Management Changes 2021

Administrative

It is almost CAHPS survey time!

Administrative

Drug fee schedule update

Administrative

MCG care guidelines 24th Edition Customization (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Frequency Editing (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Guidelines for Reporting Timed Units: Physical Medicine and Rehab Services (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Modifier Rules (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Unit Frequency Maximum for Drugs and Biologic Substances (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Multiple Diagnostic Imaging Procedures (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Outpatient System updates for Facility reimbursement policies 2021

Reimbursement Policies

2021 FEP® Benefit information available online

Federal Employee Plan (FEP)

Notifications on the Availity Portal

Medicaid

Resources to support your pregnant and postpartum patients and their families

Medicaid

Medical drug benefit Clinical Criteria updates

Medicaid

FDA approvals and expedited pathways used -- new molecular entities

Medicaid

Coding spotlight: HEDIS MY 2021

Medicaid

Keep up with Medicaid news

Medicaid

Medical drug benefit Clinical Criteria updates

Medicare

2020 Medicare risk adjustment provider trainings

Medicare

Electrical Workers Local 357 Health and Welfare Trust Fund in Nevada moves to Medicare Advantage plan from Anthem Blue Cross and Blue Shield (Anthem)

Medicare

Keep up with Medicare news

Medicare

Procedure Searches in Find Care -- New Sort Option

Administrative

System updates impacting Professional reimbursement policies for 2021

Reimbursement Policies
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