August 1, 2021
August 2021 Anthem Provider News - Nevada
Filter By: AllCommercial
Administrative
CommercialAugust 1, 2021
Telehealth visits can impact after hospitalization follow-up care for mental illnessCommercialAugust 1, 2021
Clearing up coding confusion for retinal eye exams (DRE)3072F: new language about two-year compliance.
CommercialAugust 1, 2021
Register now for our August CME webinars!CommercialAugust 1, 2021
Digital scheduling feature in the Availity portal: the Appointment Scheduler applicationCommercialAugust 1, 2021
Submitting prior authorizations is getting easierAnthem is transitioning to Availity Authorization
Policy Updates
CommercialAugust 1, 2021
New clinical guideline: Home Parenteral Nutrition, effective November 1, 2021Material adverse change (MAC)
CommercialAugust 1, 2021
Transition to AIM Specialty Health Imaging of the heart clinical appropriateness guideline for Computed Tomography to Detect Coronary Artery CalcificationCommercialAugust 1, 2021
Pre-service/prior authorization clinical review update: August 1, 2021Material adverse change (MAC)
CommercialAugust 1, 2021
Reimbursement policy update: claims requiring additional documentation (facility)CommercialAugust 1, 2021
Reimbursement policy update: Distinct Procedural Service, modifiers 59 and XE, XP, XS, & XUMaterial adverse change (MAC)
CommercialAugust 1, 2021
Reimbursement policy update: Virtual Visits (professional and facility)Material adverse change (MAC)
Products & Programs
CommercialAugust 1, 2021
Change in email submission of service requests for Federal Employee Program® membersMaterial adverse change (MAC)
CommercialAugust 1, 2021
Specialty dose rounding program for certain oncology medicationsCommercialAugust 1, 2021
Pharmacy information available on anthem.comCommercialAugust 1, 2021
Anthem to update formulary lists for commercial health plan pharmacy benefitCommercialAugust 1, 2021
August 2021 updates for specialty pharmacy are availableMaterial adverse change (MAC): prior authorization updates
CommercialAugust 1, 2021
Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021CommercialAugust 1, 2021
Immune globulin adjusted body weight dosing program beginning August 1, 2021State & Federal
MedicaidAugust 1, 2021
Prior authorization requirement changes effective September 1, 2021: UM AROW 1576Medicaid
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