Nevada
Provider Communications

Articles Month: December 2022

Title Publication Category Date

Engagement with your patient counts

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change (MAC)

Material adverse change
January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines (MAC)

Material adverse change
January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates (MAC)

Material adverse change
January 2023 Anthem Provider News - Nevada Pharmacy Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Nevada Medicaid Dec 30, 2022

Attention physicians and lab providers: COVID-19 update regarding reimbursement

January 2023 Anthem Provider News - Nevada Medicaid Dec 30, 2022

Update to the Pregnancy Notification Form

January 2023 Anthem Provider News - Nevada Medicaid Dec 30, 2022

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
January 2023 Anthem Provider News - Nevada Medicaid Dec 30, 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:
January 2023 Anthem Provider News - Nevada Medicare Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Nevada Federal Employee Plan (FEP) Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Anthem Provider News - Nevada Reimbursement Policies Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 30, 2022

Professional system updates for 2023

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Nevada Administrative Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement (MAC)

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Nevada Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

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

Coordination of care

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

Important information about utilization management

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

Case management program

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

Signature requirements for laboratory orders or requisitions

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

New Convenient Care HMO Plan and updated Prefix Reference List

December 2022 Anthem Provider News - Nevada Products & Programs Dec 1, 2022

Medical Policy and Clinical UM Guidelines notification letter

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Nevada Policy Updates Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility (MAC)

Material adverse change (MAC)

December 2022 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2022

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
December 2022 Anthem Provider News - Nevada Medicaid Dec 1, 2022

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

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

December 2022 Anthem Provider News - Nevada Policy Updates Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

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

Member’s assessment of behavioral healthcare after-hours messaging in 2022

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

Members’ rights and responsibilities

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

CAA: Timely updates help keep our provider directories current

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

Clinical practice and preventive health guidelines available on anthem.com

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

Specialty pharmacy updates - December 2022 (MAC)

Material adverse change (MAC)
December 2022 Anthem Provider News - Nevada Pharmacy Dec 1, 2022

Pharmacy information available on the provider website

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

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material adverse change (MAC)
December 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2022

Personal home helper benefit ending

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