Nevada
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Federal Employee Program® Specialty Pharmacy Clinical Site of Care prior authorization review (MAC)

Material Adverse Change (MAC)
October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification request turnaround times for the Federal Employee Program

October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

MCG Care Guidelines update and customizations

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

Keep up with Medicare news

October 2019 Anthem Provider News and Important Updates - Nevada Medicare Oct 1, 2019

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Prior authorization changes

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

MCG Care Guidelines update and customizations

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Keep up with Medicaid news

October 2019 Anthem Provider News and Important Updates - Nevada Medicaid Oct 1, 2019

Coming soon: electronic attachments

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Anthem Provider News and Important Updates - Nevada Medicare Sep 1, 2019

Keep up with Medicaid news

September 2019 Anthem Provider News and Important Updates - Nevada Medicaid Sep 1, 2019

New service types added to Availity

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

Special needs plans -- provider training required

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

Keep up with Medicare news

August 2019 Anthem Provider News and Important Updates - Nevada Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Pharmacy management information

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Update your information

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Keep up with Medicaid news

August 2019 Anthem Provider News and Important Updates - Nevada Medicaid Aug 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News and Important Updates - Nevada Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News and Important Updates - Nevada Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Provider News and Important Updates - Nevada Medicare Jul 1, 2019

Appointment availability and after-hours access requirements

July 2019 Anthem Provider News and Important Updates - Nevada Medicaid Jul 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

July 2019 Anthem Provider News and Important Updates - Nevada Medicaid Jul 1, 2019

Keep up with Medicaid news

July 2019 Anthem Provider News and Important Updates - Nevada Medicaid Jul 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Nevada Medicare Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Nevada Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Anthem Provider Newsletter - Nevada Medicare Jun 1, 2019

Complex Case Management program

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Important information about utilization management

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Members’ Rights and Responsibilities Statement

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Intervention for blood sugar control in pregnant women with diabetes

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Keep up with Medicaid news

June 2019 Anthem Provider Newsletter - Nevada Medicaid Jun 1, 2019

Fall prevention tips

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Modifier 63: Procedure Performed on Infants Less Than 4 kg - Policy 06-015

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Keep up with Medicare news

May 2019 Anthem Provider Newsletter - Nevada Medicare May 1, 2019

Clinical Criteria updates

May 2019 Anthem Provider Newsletter - Nevada Medicaid May 1, 2019

Keep up with Medicaid news

May 2019 Anthem Provider Newsletter - Nevada Medicaid May 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Clinical Criteria updates

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Provider surveys

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Dual Eligible Special Needs Plans -- provider training required

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

New specialty pharmacy medical step therapy requirements

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Prior authorization requirements for Sublocade

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Coding spotlight: diabetes - provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

My Diverse Patients: a website to support your diverse patients

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Retroactive rate adjustments

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - NV Federal Employee Plan (FEP) Feb 1, 2019

Reminder - Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - NV Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - NV Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Provider Newsletter - NV Medicare Jan 1, 2019

Improving the Patient Experience continuing medical education

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

Quality Management information

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

Electronic claim payment reconsideration

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

Coordination of Benefits for an FEP® member

December 2018 Anthem Provider Newsletter - NV Federal Employee Plan (FEP) Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Provider Newsletter - NV Medicare Dec 1, 2018

Accessing remittance inquiry beginning December 1, 2018

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Pharmacy management information

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Practitioners’ rights during credentialing process

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Claims Requiring Additional Documentation – Reimbursement Policy Update

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018

Remittance Inquiry tool available December 1, 2018

December 2018 Anthem Provider Newsletter - NV Medicaid Dec 1, 2018
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