Nevada
Provider Communications

January 2023 Anthem Provider News - Nevada

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Title Category

Professional system updates for 2023

Administrative

Outpatient system updates for 2023

Administrative

Notification regarding reimbursement changes to COVID-19 laboratory services codes (MAC)

Material adverse change (MAC)

Administrative

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

Administrative

Engagement with your patient counts

Administrative

Childhood Immunization Status and Lead Screening in Children for HEDIS

Administrative

Outpatient facility revenue code billing requirements

Reimbursement Policies

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

Medical Policy & Clinical Guidelines

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update (MAC)

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

Monkeypox and smallpox vaccines: Product code on claims

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change (MAC)

Material adverse change
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines (MAC)

Material adverse change
Medical Policy & Clinical Guidelines

Specialty pharmacy updates (MAC)

Material adverse change
Pharmacy

Childhood Immunization Status and Lead Screening in Children for HEDIS

Medicaid

Attention physicians and lab providers: COVID-19 update regarding reimbursement

Medicaid

Update to the Pregnancy Notification Form

Medicaid

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
Medicaid

Keep up with Medicare news

Medicare Advantage

Please continue to check Important Medicare Advantage Updates at anthem.com/medicareprovider for the latest Medicare Advantage information, including:
Medicare

Federal Employee Program observation conversion for musculoskeletal cases (MAC)

Material adverse change (MAC)

Federal Employee Plan (FEP)
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