Nevada
Provider Communications

July 2021 Anthem Provider News - Nevada

Download as PDF

Title Category

Continuing Medical Education (CME) webinar series

Administrative

Proper coding for in-home monitoring can make a measurable difference for international normalized ratio

Administrative

Another mark of the pandemic: an increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors.
Administrative

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

We want to help.
Administrative

Drug fee schedule update

Administrative

Important update to provider utilization management reimbursement penalties and corresponding entry in our provider manual

Material adverse change (MAC)
Administrative

Company to retire Blue Precision program at the end of the year

Products & Programs

REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviews

Products & Programs

How to enroll in electronic fund transfer (EFT) for faster remittance

Digital Tools

Electronic claim response files

Digital Tools

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

Digital Tools

Certain specialty medication precertification requests may require additional documentation

Pharmacy

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Material adverse change (MAC)
Pharmacy

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
Pharmacy

New reimbursement policy: Non-Patient Laboratory Services (facility)

Material adverse change (MAC)
Reimbursement Policies

Reimbursement policy update: Consultations (professional)

Material adverse change (MAC)
Reimbursement Policies

New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicare Advantage
Medicare

Let’s Vaccinate

Medicare Advantage: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
Medicare

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

Medicare Advantage
Medicare

March 2021 medical drug benefit clinical criteria updates

Medicare Advantage
Medicare

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

Medicare Advantage
Medicare

Keep up with Medicare news

Medicare Advantage
Medicare

New policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicaid
Medicaid

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

Medicaid
Medicaid

Coding spotlight: mental disorders in childhood

Medicaid
Medicaid

Keeping up with routine vaccination during COVID-19

Medicaid
Medicaid

What matters most: improving the patient experience

Medicaid
Medicaid

Resources to support your diverse patient panel

Medicaid
Medicaid

Correction to a prior authorization update

Medicaid
Medicaid

Complex case management program

Medicaid
Medicaid

Important information about utilization management

Medicaid
Medicaid

Medical policies and clinical utilization management guidelines update

Medicaid
Medicaid

Members’ rights and responsibilities statement

Medicaid
Medicaid

Anthem Blue Cross and Blue Shield Healthcare Solutions in Nevada provider spotlight

Medicaid: Doluce David Ezeanolue, MD
Medicaid

Prior authorization requirement changes effective September 1, 2021: UM AROW 1327

Medicaid
Medicaid

Let’s Vaccinate

Medicaid: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
Medicaid

Prior authorization requirement changes effective September 1, 2021: UM AROW 1837

Medicaid
Medicaid

Behavioral health areas of expertise profile survey

Medicaid
Medicaid

Keep up with Medicaid news

Medicaid
Medicaid
Page 1 of 1