September 1, 2023
September 2023 Provider Newsletter
Featured Articles
CommercialAugust 16, 2023
Access Networks at a Glance guide
CommercialSeptember 1, 2023
HCPCS to revenue code alignment
CommercialMedicaidJuly 27, 2023
Help your patients continue their care and navigate Medicaid renewal
Medicare AdvantageSeptember 1, 2023
Reminder: Review the health reimbursement arrangement and care plan updates in Availity Essentials
Administrative
MedicaidAugust 31, 2023
Clinical Laboratory Improvement AmendmentsCommercialMedicare AdvantageMedicaidAugust 29, 2023
CareMore Health is becoming Carelon Health on January 1, 2024CommercialSeptember 1, 2023
New provider manual now availableCommercialSeptember 1, 2023
CAA: Have you reviewed your online provider directory information lately?CommercialSeptember 1, 2023
Support documentation for Carelon Medical Benefits Management, Inc. prior authorization requestsCommercialSeptember 1, 2023
Consider a FIT kit for your patients aged 45 and older at average risk for colon cancerCommercialSeptember 1, 2023
Update — Enhanced outpatient facility editing for National Correct Coding InitiativeMedicaidAugust 31, 2023
Submitting prior authorizations is getting easierCommercialSeptember 1, 2023
Improvements to Digital RFAI Attachment filtering and reportingMedicare AdvantageSeptember 1, 2023
Personalized match phase 1: Specialist provider overviewCommercialSeptember 1, 2023
Simplifying claims attachments: Digital Request for Additional Information through Availity.comCommercialMedicare AdvantageAugust 16, 2023
Changes to our data management system will help streamline your demographic update processCommercialSeptember 1, 2023
Member search feature enhancement: Search for a patient without using member ID in Availity EssentialsEducation & Training
CommercialMedicare AdvantageJuly 10, 2023
You're invited: Thriving, not just surviving: Youth mental health in today's worldPolicy Updates
MedicaidAugust 25, 2023
Clinical Criteria updates - May 2023Medicare AdvantageAugust 14, 2023
Clinical Criteria updates - May 2023MedicaidJuly 24, 2023
Prior authorization requirement changes effective September 1, 2023Medicare AdvantageAugust 7, 2023
Prior authorization requirement changes effective December 1, 2023MedicaidJuly 20, 2023
Request for Termination of Service formCommercialSeptember 1, 2023
Reimbursement policy update: Documentation Standards for Episodes of Care — ProfessionalCommercialSeptember 1, 2023
Clarification to reimbursement policy update: Prolonged Services – ProfessionalCommercialSeptember 1, 2023
Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - ProfessionalCommercialSeptember 1, 2023
Reimbursement policy update: Place of Service – FacilityCommercialSeptember 1, 2023
New reimbursement policy: Split Care Surgical Modifiers — ProfessionalProducts & Programs
CommercialAugust 16, 2023
Findlay Management group planCommercialSeptember 1, 2023
Specialty pharmacy updates – September 2023CommercialSeptember 1, 2023
Sublocade® updateMedicare AdvantageAugust 3, 2023
Specialty pharmacy medical step therapy for hyaluronan injectionsMedicare AdvantageJuly 28, 2023
UPDATED: Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification listMedicaidAugust 2, 2023
PA update - AltuviiioQuality Management
Medicare AdvantageSeptember 1, 2023
Medication reconciliation post inpatient dischargeNVBCBS-CDCRCM-035545-23
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