Nevada
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Controlling High Blood Pressure (CBP)

September 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Sep 1, 2020

Medical drug benefit Clinical Criteria updates (March 2020)

September 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Sep 1, 2020

Keep up with Medicaid news

September 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Sep 1, 2020

Medical drug benefit Clinical Criteria updates (March 2020)

September 2020 Anthem Provider News and Important Updates -- Nevada Medicare Sep 1, 2020

Medical drug benefit Clinical Criteria updates (May 2020)

September 2020 Anthem Provider News and Important Updates -- Nevada Medicare Sep 1, 2020

Keep up with Medicaid news

August 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Provider News and Important Updates -- Nevada Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Provider News and Important Updates -- Nevada Medicare Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Provider News and Important Updates -- Nevada Medicare Aug 1, 2020

Keep up with Medicare news

August 2020 Anthem Provider News and Important Updates -- Nevada Medicare Aug 1, 2020

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

Complex Case Management program

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

Important information about utilization management

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

Members’ Rights and Responsibilities Statement

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

Coding spotlight: Provider’s guide to code social determinants of health

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

Coding spotlight: Provider’s guide to coding for cardiovascular conditions

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

Keep up with Medicaid news

July 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jul 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jul 1, 2020

Modifier use reminders

June 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jun 1, 2020

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jun 1, 2020

Resources supporting our providers during COVID-19

June 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jun 1, 2020

Keep up with Medicare news

June 2020 Anthem Provider News and Important Updates -- Nevada Medicare Jun 1, 2020

Notification for ambulatory medical record review

June 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jun 1, 2020

Follow-Up After Hospitalization for Mental Illness

June 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jun 1, 2020

Keep up with Medicaid news

June 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Jun 1, 2020

Reimbursement Policy: Policy Update-Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News and Important Updates -- Nevada Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News and Important Updates -- Nevada Medicare May 1, 2020

Keep up with Medicare news

May 2020 Anthem Provider News and Important Updates -- Nevada Medicare May 1, 2020

Reimbursement Policy: Policy Update-Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News and Important Updates -- Nevada Medicaid May 1, 2020

Disease Management can help you care for patients with chronic health care needs

May 2020 Anthem Provider News and Important Updates -- Nevada Medicaid May 1, 2020

Medical drug benefit Clinical Criteria updates December 2019

May 2020 Anthem Provider News and Important Updates -- Nevada Medicaid May 1, 2020

Postpartum incentives

May 2020 Anthem Provider News and Important Updates -- Nevada Medicaid May 1, 2020

CPT II obstetrical billing information

May 2020 Anthem Provider News and Important Updates -- Nevada Medicaid May 1, 2020

Keep up with Medicaid news

May 2020 Anthem Provider News and Important Updates -- Nevada Medicaid May 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News and Important Updates -- Nevada Federal Employee Plan (FEP) Apr 1, 2020

COVID-19 Virus Talking Points - Medicare

April 2020 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates for November 2019

April 2020 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates for December 2019

April 2020 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2020

COVID-19 Virus Talking Points - Medicaid

April 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2020

Keep up with Medicare news

April 2020 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates for November 2019

April 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2020

Use of Imaging Studies for Low Back Pain (LBP)

April 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

April 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2020

Coding spotlight: HIV and AIDS

April 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2020

Keep up with Medicaid news

April 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Apr 1, 2020

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News - COVID-19
and Medicare Advantage Provider News Archives.
COVID-19 Information - Nevada State & Federal Mar 25, 2020

Outpatient Rehabilitation Program transition: new prior authorization requirements

March 2020 Anthem Provider News and Important Updates -- Nevada Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News and Important Updates -- Nevada Medicare Mar 1, 2020

Nonpreferred products and corresponding preferred alternatives

March 2020 Anthem Provider News and Important Updates -- Nevada Medicare Mar 1, 2020

Keep up with Medicare news

March 2020 Anthem Provider News and Important Updates -- Nevada Medicare Mar 1, 2020

Improving the patient experience

March 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Mar 1, 2020

Medical drug benefit Clinical Criteria updates

March 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Mar 1, 2020

Keep up with Medicaid news

March 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Mar 1, 2020

Verifying and updating your provider information

February 2020 Anthem Provider News and Important Updates - Nevada Medicare Feb 1, 2020

Keep up with Medicare news

February 2020 Anthem Provider News and Important Updates - Nevada Medicare Feb 1, 2020

Verifying and updating your provider information

February 2020 Anthem Provider News and Important Updates - Nevada Medicaid Feb 1, 2020

Coding spotlight: provider’s guide to coding respiratory

February 2020 Anthem Provider News and Important Updates - Nevada Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Anthem Provider News and Important Updates - Nevada Medicaid Feb 1, 2020

Keep up with Medicaid news

February 2020 Anthem Provider News and Important Updates - Nevada Medicaid Feb 1, 2020

Reimbursement Policy Update Modifier 62: Co-Surgeons

February 2020 Anthem Provider News and Important Updates - Nevada Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News and Important Updates - Nevada Medicare Feb 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection -- best practices

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Medical drug benefit Clinical Criteria updates – October 2019

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Medical drug benefit Clinical Criteria updates – November 2019

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

2020 FEP® Benefit information available online

January 2020 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Jan 1, 2020

Postponed -- Review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Barrick Gold offers Medicare Advantage option

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Keep up with Medicare news

January 2020 Anthem Provider News and Important Updates - Nevada Medicare Jan 1, 2020

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

January 2020 Anthem Provider News and Important Updates - Nevada Medicaid Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News and Important Updates - Nevada Medicaid Jan 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

January 2020 Anthem Provider News and Important Updates - Nevada Medicaid Jan 1, 2020

Precertification Lookup Tool -- easy access to prior authorization guidelines on the Availity Portal

January 2020 Anthem Provider News and Important Updates - Nevada Medicaid Jan 1, 2020

Coding Spotlight: Hypertension -- A providers’ guide for coding

January 2020 Anthem Provider News and Important Updates - Nevada Medicaid Jan 1, 2020

Keep up with Medicaid news

January 2020 Anthem Provider News and Important Updates - Nevada Medicaid Jan 1, 2020

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

AIM Specialty Health programs may require documentation

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

Coming soon: electronic attachments

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

Keep up with Medicare news

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

AIM Specialty Health programs may require documentation

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Coming soon: electronic attachments

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Keep up with Medicaid news

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Prior authorization requirements changes effective November 1, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Keep up with Medicare news

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019
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