Nevada
Provider Communications

June 2021 Anthem Provider News - Nevada

Download as PDF

Title Category

Anthem to enhance claim edits for outpatient facility claims

Reimbursement Policies

Aspire Health for Medicaid members in need of palliative care

Medicaid

Change notification to medical policies and clinical utilization management guidelines

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Continuing medical education/Continuing education unit opportunities

Medicaid

DEXA bone scan criteria for the Federal Employee Program®

Federal Employee Plan (FEP)

Digital solution options with Availity

Digital Tools

Essential information you need to submit EDI corrected claims

Digital Tools

Evaluation and management services correct coding (professional)

Material adverse change (MAC)
Reimbursement Policies

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

Digital Tools

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
Pharmacy

Keep up with Medicaid news

Medicaid

Keep up with Medicare news

Medicare

Keep your contact information current

Administrative

Let’s Vaccinate!

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
Products & Programs

MCG care guidelines 25th edition

Medicaid

MCG care guidelines 25th edition

Medicare

Medical policies and clinical utilization management guidelines update

Medicare

New digital provider enrollment tool added to Availity for Nevada

Digital Tools

Pharmacy information available on anthem.com

Pharmacy

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

Administrative

Provider education program survey: Your voice counts!

Medicaid

Regular check-ins with your clearinghouse could affect timely filing

Administrative

Reimbursement policy update: Emergency Department: Leveling of Evaluation and Management Services (facility)

Material adverse change (MAC)
Reimbursement Policies

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

Medicare

Two great learning resources on one secure portal

Digital Tools

Updates to AIM advanced imaging clinical appropriateness guideline

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM musculoskeletal program clinical appropriateness guidelines

Material adverse change (MAC)
Medical Policy & Clinical Guidelines
Page 1 of 1