CommercialFebruary 1, 2019
February 2019 Anthem Provider Newsletter - NV
Administrative
CommercialFebruary 1, 2019
Updated Escalation Contact ListCommercialFebruary 1, 2019
Provider and Facility identified Overpayments (aka “voluntary” or “unsolicited”)Behavioral Health
CommercialFebruary 1, 2019
Member Satisfaction with Behavioral Health Outpatient ServicesPolicy Updates
CommercialFebruary 1, 2019
Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred (Professional)CommercialFebruary 1, 2019
Significant Edits (Professional)CommercialFebruary 1, 2019
Reminder: Review ICD-10-CM Coding Guidelines (Professional)CommercialFebruary 1, 2019
Reimbursement Policies are available onlineCommercialFebruary 1, 2019
Clear Claim Connection: our web-based claim edit toolProducts & Programs
CommercialFebruary 1, 2019
HEDIS 2019 Federal Employee Program® medical record request requirementsCommercialFebruary 1, 2019
Pharmacy information available on anthem.comState & Federal
Medicare AdvantageFebruary 1, 2019
Reminder - Anthem follows Original Medicare policiesMedicare AdvantageFebruary 1, 2019
Use grouped CPT codes for AIM Specialty Health authorizationsMedicare AdvantageFebruary 1, 2019
Anthem eye refraction and routine eye exam billing informationMedicare AdvantageFebruary 1, 2019
New specialty Medicare Part B device preferred product programMedicare AdvantageFebruary 1, 2019
Keep up with Medicare newsMedicaidFebruary 1, 2019
Medical Policies and Clinical Utilization Management Guidelines updateMedicaidFebruary 1, 2019
New specialty pharmacy medical step therapy requirementsMedicaidFebruary 1, 2019
Prior authorization requirements for SublocadeMedicaidFebruary 1, 2019
Coding spotlight: diabetes - provider guide to coding the diagnosis and treatment of diabetesMedicaidFebruary 1, 2019
My Diverse Patients: a website to support your diverse patientsMedicaidFebruary 1, 2019
Prior authorization requirements for Subcutaneous Implantable Defibrillator systemMedicaidFebruary 1, 2019
Retroactive rate adjustmentsTo view this publication online:
Visit https://providernews.anthem.com/nevada/publications/february-2019-anthem-provider-newsletter-nv-160
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