Nevada
Provider Communications

Articles Category: State & Federal > Medicare

Title Publication Category Date

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

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

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

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

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

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

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

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

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

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

Please evaluate statin use for Medicare Advantage members with diabetes, cardiovascular disease

November 2018 Anthem Provider Newsletter - NV Medicare Nov 1, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Provider Newsletter - NV Medicare Oct 1, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Provider Newsletter - NV Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Provider Newsletter - NV Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 Anthem Provider Newsletter - NV Medicare Oct 1, 2018

DME providers and physicians: important wheelchair prior authorization information

September 2018 Anthem Provider Newsletter - NV Medicare Aug 31, 2018

CMS issues regulatory changes for short- and long- acting narcotics; days’ supply limits effective January 1, 2019

September 2018 Anthem Provider Newsletter - NV Medicare Aug 31, 2018

MyDiversePatients.com addresses health care disparities

September 2018 Anthem Provider Newsletter - NV Medicare Aug 31, 2018

Keep up with Medicare news

September 2018 Anthem Provider Newsletter - NV Medicare Aug 31, 2018

MA members receive incentives for completing screenings

August 2018 Anthem Provider Newsletter - NV Medicare Aug 17, 2018

Submit Prior Authorizations medication requests electronically; new phone and fax numbers for MA prescription PAs effective September 1

August 2018 Anthem Provider Newsletter - NV Medicare Aug 17, 2018

Keep up with Medicare news

August 2018 Anthem Provider Newsletter - NV Medicare Aug 17, 2018
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