Nevada
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Nevada Medicare Dec 1, 2022

Keep up with Medicare news

Medicare Advantage

Please continue to check Important Medicare Advantage Updates at anthem.com/medicareprovider for the latest Medicare Advantage information, including:
December 2022 Anthem Provider News - Nevada Medicare Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Nevada Medicare Dec 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)
November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare Advantage

November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Personalized Match

Medicare Advantage

November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Keep up with Medicare news

Medicare Advantage

November 2022 Anthem Provider News - Nevada Medicare Nov 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

Medicare Advantage
October 2022 Anthem Provider News - Nevada Medicare Oct 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare
Material adverse change (MAC)

October 2022 Anthem Provider News - Nevada Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

Medicare

October 2022 Anthem Provider News - Nevada Medicare Oct 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)

October 2022 Anthem Provider News - Nevada Medicare Oct 1, 2022

Consultation codes

Medicare Advantage

October 2022 Anthem Provider News - Nevada Medicare Oct 1, 2022

Keep up with Medicare news

Medicare Advantage
October 2022 Anthem Provider News - Nevada Medicare Oct 1, 2022

Prior authorization requirement changes effective December 1, 2022

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification List

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 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

 

September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

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

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Keep up with Medicare news

Medicare Advantage

Medical drug benefit Clinical Criteria updates

August 2022 Anthem Provider News - Nevada Medicare Aug 1, 2022

Keep up with Medicare news

Medicare Advantage

New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Cancer Care Navigator

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Non-participating lab referrals

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Provider notice for COVID-19 testing

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Medical drug benefit Clinical Criteria updates

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Keep up with Medicare news

Medicare Advantage
June 2022 Anthem Provider News - Nevada Medicare Jun 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

New Strategic Provider System implementation May 2022

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

Keep up with Medicare news

Medicare Advantage
May 2022 Anthem Provider News - Nevada Medicare May 1, 2022

Keep up with Medicare news

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Policy Update: Inpatient Readmissions

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

The impact of listening

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Clinical Criteria updates

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Model of Care required training

Medicare Advantage
April 2022 Anthem Provider News - Nevada Medicare Apr 1, 2022

Annual wellness visits for Medicare Advantage members

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Pharmacy newsletter

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Clinical Criteria updates

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

New Strategic Provider System will launch in April 2022

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Keep up with Medicare news

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Get faster payments with EFT

Medicare Advantage
February 2022 Anthem Provider News - Nevada Medicare Feb 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

Medicare Advantage
February 2022 Anthem Provider News - Nevada Medicare Feb 1, 2022

Keep up with Medicare news

Medicare Advantage
February 2022 Anthem Provider News - Nevada Medicare Feb 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

Medicare Advantage
January 2022 Anthem Provider News - Nevada Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

Medicare Advantage
January 2022 Anthem Provider News - Nevada Medicare Jan 1, 2022

Keep up with Medicare news

Medicare Advantage

January 2022 Anthem Provider News - Nevada Medicare Jan 1, 2022

Policy Update: Drug Screen Testing

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Somatus is your resource for kidney care management

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Keep up with Medicare news

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Clinical Criteria updates

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Electronic data interchange process

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

New York City Medicare Advantage announcement

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Keep up with Medicare news

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

Sexually Transmitted Infections Testing (Professional)

Medicare Advantage
October 2021 Anthem Provider News - Nevada Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

Medicare Advantage
October 2021 Anthem Provider News - Nevada Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

Medicare Advantage
October 2021 Anthem Provider News - Nevada Medicare Oct 1, 2021

New Medical Step Therapy requirements

Medicare Advantage
October 2021 Anthem Provider News - Nevada Medicare Oct 1, 2021

Keep up with Medicare news

View these Medicare articles:
October 2021 Anthem Provider News - Nevada Medicare Oct 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers

Medicare Advantage
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Prior authorization/precertification form notification

Medicare Advantage
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Utilization management authorization rule operations

Medicare Advantage
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Keep up with Medicare news

Medicare Advantage

Clinical criteria updates notification May 2021
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Preventing claims denials: shingles vaccine

Medicare Advantage
August 2021 Anthem Provider News - Nevada Medicare Aug 1, 2021

Keep up with Medicare news

Medicare Advantage
August 2021 Anthem Provider News - Nevada Medicare Aug 1, 2021

New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Let’s Vaccinate

Medicare Advantage: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

March 2021 medical drug benefit clinical criteria updates

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Keep up with Medicare news

Medicare Advantage
July 2021 Anthem Provider News - Nevada Medicare Jul 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Provider News - Nevada Medicare Jun 1, 2021

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

June 2021 Anthem Provider News - Nevada Medicare Jun 1, 2021

MCG care guidelines 25th edition

June 2021 Anthem Provider News - Nevada Medicare Jun 1, 2021

Keep up with Medicare news

June 2021 Anthem Provider News - Nevada Medicare Jun 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News - Nevada Medicare May 1, 2021

Keep up with Medicare news

May 2021 Anthem Provider News - Nevada Medicare May 1, 2021

Access to more claim denial information is now self-service

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

Oncology Dose Reduction Program beginning July 1, 2021

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

Clinical Criteria Updates Notification November 2020

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

Clinical Criteria Updates Notification December 2020

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

Keep up with Medicare news

April 2021 Anthem Provider News and Important Updates -- Nevada Medicare Apr 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Provider News and Important Updates -- Nevada Medicare Mar 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

March 2021 Anthem Provider News and Important Updates -- Nevada Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Anthem Provider News and Important Updates -- Nevada Medicare Mar 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Provider News and Important Updates -- Nevada Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Anthem Provider News and Important Updates -- Nevada Medicare Feb 1, 2021
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