January 1, 2020
January 2020 Anthem Provider News and Important Updates - Nevada
Administrative
CommercialDecember 31, 2019
Western Pathology Consultants is no longer a Participating ProviderCommercialDecember 31, 2019
Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020CommercialDecember 31, 2019
New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020CommercialDecember 31, 2019
Upcoming retirement planned for legacy Medical Attachment submission toolCommercialDecember 31, 2019
Let us help you accomplish your 2020 “To Do” list early – EDI MigrationCommercialDecember 31, 2019
New Year brings new ID cards for many Anthem membersCommercialDecember 31, 2019
Drug fee schedule updatePolicy Updates
CommercialDecember 31, 2019
Important Update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair (MAC)CommercialDecember 31, 2019
Outpatient facility edit implementation effective April 26, 2020 (MAC)Products & Programs
CommercialDecember 31, 2019
2020 FEP® Benefit information available onlineState & Federal
Medicare AdvantageDecember 31, 2019
Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance periodMedicare AdvantageDecember 31, 2019
Help protect your patients by providing medical ID protection -- best practicesMedicare AdvantageDecember 31, 2019
Postponed -- Review of professional claims with emergency room level 5 E/M codesMedicare AdvantageDecember 31, 2019
Medical drug benefit Clinical Criteria updates – October 2019Medicare AdvantageDecember 31, 2019
Medical drug benefit Clinical Criteria updates – November 2019Medicare AdvantageDecember 31, 2019
Healthcare Quality Patient Assessment Form and Patient Assessment FormMedicare AdvantageDecember 31, 2019
Barrick Gold offers Medicare Advantage optionMedicare AdvantageDecember 31, 2019
Keep up with Medicare newsMedicaidDecember 31, 2019
Coding spotlight: provider’s guide to coding behavioral and emotional disordersMedicaidDecember 31, 2019
Medical drug benefit Clinical Criteria updatesMedicaidDecember 31, 2019
Medical Policies and Clinical Utilization Management Guidelines updateMedicaidDecember 31, 2019
Precertification Lookup Tool -- easy access to prior authorization guidelines on the Availity PortalMedicaidDecember 31, 2019
Coding Spotlight: Hypertension -- A providers’ guide for codingMedicaidDecember 31, 2019
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