CommercialJune 1, 2022

June 2022 Anthem Provider News - Nevada

Administrative

AdministrativeCommercialJune 1, 2022

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.

AdministrativeCommercialJune 1, 2022

Provider outreach to validate your provider data

AdministrativeCommercialJune 1, 2022

CAA: Provider directories accuracy is important

AdministrativeCommercialJune 1, 2022

Updates to edits associated with implants

AdministrativeCommercialJune 1, 2022

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

AdministrativeCommercialJune 1, 2022

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

Behavioral Health

Behavioral HealthCommercialJune 1, 2022

Opioid overdose deaths: What can we do?

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Medical Policy and clinical UM guidelines notification update (MAC)
Material adverse change (MAC)

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines (MAC)
Material adverse change (MAC)

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines (MAC)
Material adverse change (MAC)

Medical Policy & Clinical GuidelinesCommercialJune 1, 2022

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

Material adverse change (MAC)

Reimbursement PoliciesCommercialJune 1, 2022

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

Products & Programs

Products & ProgramsCommercialJune 1, 2022

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

Products & ProgramsCommercialJune 1, 2022

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

Federal Employee Program (FEP)CommercialJune 1, 2022

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

PharmacyCommercialJune 1, 2022

June 2022 specialty pharmacy updates (MAC)
Material adverse change (MAC)

State & Federal

State & FederalMedicare AdvantageJune 1, 2022

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

State & FederalMedicare AdvantageJune 1, 2022

Provider notice for COVID-19 testing
Medicare Advantage

State & FederalMedicare AdvantageJune 1, 2022

Medical drug benefit Clinical Criteria updates
Medicare Advantage

State & FederalMedicare AdvantageJune 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update
Medicare Advantage

State & FederalMedicare AdvantageJune 1, 2022

Keep up with Medicare news
Medicare Advantage

State & FederalMedicaidJune 1, 2022

Provider notice for COVID-19 testing
Medicaid

State & FederalMedicaidJune 1, 2022

Keep up with Medicaid news
Medicaid