July 1, 2021
July 2021 Anthem Provider News - Nevada
Administrative
CommercialJuly 1, 2021
Proper coding for in-home monitoring can make a measurable difference for international normalized ratioCommercialJuly 1, 2021
Another mark of the pandemic: an increase in childhood obesityCommercialJuly 1, 2021
Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claimsCommercialJuly 1, 2021
Drug fee schedule updateCommercialJuly 1, 2021
Important update to provider utilization management reimbursement penalties and corresponding entry in our provider manualCommercialJuly 1, 2021
Continuing Medical Education (CME) webinar seriesCommercialJuly 1, 2021
Electronic claim response filesCommercialJuly 1, 2021
How to enroll in electronic fund transfer (EFT) for faster remittanceCommercialJuly 1, 2021
Interactive Care Reviewer (ICR): New search option for cases submitted through ICRPolicy Updates
CommercialJuly 1, 2021
New reimbursement policy: Non-Patient Laboratory Services (facility)CommercialJuly 1, 2021
Reimbursement policy update: Consultations (professional)Products & Programs
CommercialJuly 1, 2021
Company to retire Blue Precision program at the end of the yearCommercialJuly 1, 2021
REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviewsCommercialJuly 1, 2021
Certain specialty medication precertification requests may require additional documentationCommercialJuly 1, 2021
Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021CommercialJuly 1, 2021
June 2021 updates for specialty pharmacy are availableState & Federal
Medicare AdvantageJuly 1, 2021
Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patientsMedicaidJuly 1, 2021
New policy: modifier 90: reference (outside) laboratory and pass-through billingMedicaidJuly 1, 2021
Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patientsMedicare AdvantageJuly 1, 2021
March 2021 medical drug benefit clinical criteria updatesMedicaidJuly 1, 2021
Anthem Blue Cross and Blue Shield Healthcare Solutions in Nevada provider spotlightMedicaidJuly 1, 2021
Prior authorization requirement changes effective September 1, 2021: UM AROW 1327MedicaidJuly 1, 2021
Let’s VaccinateMedicaidJuly 1, 2021
Prior authorization requirement changes effective September 1, 2021: UM AROW 1837Medicare AdvantageJuly 1, 2021
New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billingMedicare AdvantageJuly 1, 2021
Let’s VaccinateMedicare AdvantageJuly 1, 2021
Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428To view this publication online:
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