September 1, 2022

September 2022 Anthem Provider News - Nevada

Administrative

AdministrativeCommercialSeptember 1, 2022

Correction: New patient evaluation and management services when reported for the same patient within the last three years

AdministrativeCommercialSeptember 1, 2022

Continuing to Explore the Intersection of Race and Disability

AdministrativeCommercialSeptember 1, 2022

Important information about women’s preventive care visits

AdministrativeCommercialSeptember 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

AdministrativeCommercialSeptember 1, 2022

Guided access HMO: Additional details

AdministrativeCommercialSeptember 1, 2022

Monkeypox resources and recommendations for our care providers
This communication applies to the Commercial and Medicare Advantage programs from

Anthem Blue Cross and Blue Shield (Anthem).

AdministrativeCommercialSeptember 1, 2022

Updated Prefix Refence List and Networks at a Glance documents now available

Digital SolutionsCommercialSeptember 1, 2022

Anthem Blue Cross and Blue Shield to accept Hospital in Home services
This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem).

Digital SolutionsCommercialSeptember 1, 2022

Updates to the Claim Attachment workflow
Three things to do when you do not find your claim in Claim Status

Policy Updates

Policy UpdatesCommercialSeptember 1, 2022

Nevada referral management policy

Medical Policy & Clinical GuidelinesCommercialSeptember 1, 2022

Medical Policy and Clinical Utilization Management (UM) Guidelines update notification letter (MAC)
Material adverse change (MAC)

Reimbursement PoliciesCommercialSeptember 1, 2022

Commercial reimbursement policy update to Modifier 66: Surgical Teams (Professional)

Reimbursement PoliciesCommercialSeptember 1, 2022

Policy Update: Modifier Rules (Professional) (MAC)

Material adverse change (MAC)

Reimbursement PoliciesCommercialSeptember 1, 2022

Reimbursement policy update Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional)

Products & Programs

Products & ProgramsCommercialSeptember 1, 2022

New Back Pain Management Program

Federal Employee Program (FEP)CommercialSeptember 1, 2022

OBRA 93 claim filing for Federal Employee Program

PharmacyCommercialSeptember 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

PharmacyCommercialSeptember 1, 2022

September 2022 Specialty pharmacy updates (MAC)

Material Adverse Change (MAC)

PharmacyCommercialSeptember 1, 2022

Drug code billing reminder

State & Federal

State & FederalMedicare AdvantageSeptember 1, 2022

Prior authorization requirement changes effective December 1, 2022
Medicare Advantage

State & FederalMedicare AdvantageSeptember 1, 2022

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification List
Medicare Advantage

State & FederalMedicare AdvantageSeptember 1, 2022

Enhancing claims attachment processes through digital applications
Medicare Advantage

State & FederalMedicare AdvantageSeptember 1, 2022

Keep up with Medicare news
Medicare Advantage

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)
Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

 

State & FederalMedicaidSeptember 1, 2022

Enhancing claims attachment processes through digital applications
Medicare Advantage

State & FederalMedicaidSeptember 1, 2022

InterQual 2022 revisions
Medicaid

State & FederalMedicaidSeptember 1, 2022

New specialty pharmacy medical step therapy requirements (MAC)
Medicaid

State & FederalMedicare AdvantageSeptember 1, 2022

Policy Update — Modifiers 25 and 57: Evaluation and Management with Global Procedures
Medicare Advantage

State & FederalMedicaidSeptember 1, 2022

Keep up with Medicaid news
Medicaid

Clinical Criteria Updates