Nevada
Provider Communications

June 2022 Anthem Provider News - Nevada

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Title Category

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield (“Anthem”) and Motivo* for Anthem providers on June 22, 2022.
Administrative

Provider outreach to validate your provider data

Administrative

CAA: Provider directories accuracy is important

Administrative

Updates to edits associated with implants

Administrative

Once-a-year testing is critically important to providing quality diabetes care

Administrative

Update: Use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

Administrative

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

Material adverse change (MAC)
Products & Programs

Updated AIM Musculoskeletal Program effective September 1, 2022 site of care reviews (MAC)

Material adverse change (MAC)
Products & Programs

Opioid overdose deaths: What can we do?

Behavioral Health

June 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
Pharmacy

Medical Policy and clinical UM guidelines notification update (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines (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 sleep disorder management clinical appropriateness guidelines (MAC)

Material adverse change (MAC)

Medical Policy & Clinical Guidelines

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility) (MAC)

Material adverse change (MAC)
Reimbursement Policies

Process change for Federal Employee Program® third-party correspondence requests

Federal Employee Plan (FEP)

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

Medicare Advantage
Medicare

Provider notice for COVID-19 testing

Medicare Advantage
Medicare

Medical drug benefit Clinical Criteria updates

Medicare Advantage
Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare Advantage
Medicare

Keep up with Medicare news

Medicare Advantage
Medicare

Provider notice for COVID-19 testing

Medicaid
Medicaid

Keep up with Medicaid news

Medicaid
Medicaid
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