Nevada
Provider Communications

Articles Month: March 2023

Title Publication Category Date

Expansion of Carelon Medical Benefits Management, Inc. cardiology, genetic testing, and radiology programs effective August 1, 2023 (MAC)

Material adverse change (MAC)

April 2023 Provider News - Nevada Administrative Mar 31, 2023

Enhanced outpatient facility editing for National Correct Coding Initiative

April 2023 Provider News - Nevada Administrative Mar 31, 2023

Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health) (MAC)

Material adverse change (MAC)
April 2023 Provider News - Nevada Administrative Mar 31, 2023

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

April 2023 Provider News - Nevada Administrative Mar 31, 2023

New strategic provider system implementing August 2023 (MAC)

Material adverse change (MAC)
April 2023 Provider News - Nevada Administrative Mar 31, 2023

CAA: Maintain your online provider directory information

April 2023 Provider News - Nevada Administrative Mar 31, 2023

Helping to reduce delays when submitting attachments

April 2023 Provider News - Nevada Administrative Mar 31, 2023

Medical Oncology Program ProviderPortal case entry enhancements

April 2023 Provider News - Nevada Administrative Mar 31, 2023

Time to prepare for HEDIS medical record review

April 2023 Provider News - Nevada Administrative Mar 31, 2023

Survey for all skilled nursing facilities

April 2023 Provider News - Nevada Digital Tools Mar 31, 2023

Genetic Testing claim edits

April 2023 Provider News - Nevada Policy Updates Mar 31, 2023

Notification Regarding Reimbursement Changes to COVID-19 Vaccine Administration (MAC)

Material adverse change (MAC)

April 2023 Provider News - Nevada Reimbursement Policies Mar 31, 2023

Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional

April 2023 Provider News - Nevada Reimbursement Policies Mar 31, 2023

Bundled Services and Supplies - Professional (MAC)

Material adverse change (MAC)

April 2023 Provider News - Nevada Reimbursement Policies Mar 31, 2023

Pay Doctor Bill (provider payment option) - General FAQ

April 2023 Provider News - Nevada Products & Programs Mar 31, 2023

Let’s Vaccinate

April 2023 Provider News - Nevada Products & Programs Mar 31, 2023

Pharmacy information available on our provider website

April 2023 Provider News - Nevada Pharmacy Mar 31, 2023

HEDIS 2023 Federal Employee Program medical record request requirements

April 2023 Provider News - Nevada Federal Employee Plan (FEP) Mar 31, 2023

FEP Quality Reimbursement Program update

April 2023 Provider News - Nevada Federal Employee Plan (FEP) Mar 31, 2023

Authorizations for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) services for consumers with individual, group retiree solutions (GRS), and dual-eligible plans from Medicare Advantage

April 2023 Provider News - Nevada Medicare Mar 31, 2023

Look what’s new in Provider Pathways

April 2023 Provider News - Nevada Medicaid Mar 31, 2023

E-visits

April 2023 Provider News - Nevada Medicare Mar 31, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

April 2023 Provider News - Nevada Medicaid Mar 31, 2023

Policy Update: Modifiers 25 and 57

April 2023 Provider News - Nevada Medicaid Mar 31, 2023

Correct coding for hospital outpatient clinic visits for Medicaid

April 2023 Provider News - Nevada Medicaid Mar 31, 2023

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
April 2023 Provider News - Nevada Medicaid Mar 31, 2023

Ready, set, renew!

April 2023 Provider News - Nevada Medicaid Mar 31, 2023

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:
April 2023 Provider News - Nevada Medicare Mar 31, 2023

New policy for EMR clinical data sharing and ADT notifications (MAC)

Material adverse change
March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

March is National Colorectal Cancer Awareness Month

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Prefix reference list - Nevada

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Advancing Mental Health Equity for Youth & Young Adults

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Drug fee schedule update

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

HPV Vaccination Starts at 9 Provider and Health Systems Toolbox

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Specialty pharmacy updates for March 2023 (MAC)

Material adverse change (MAC)

March 2023 Anthem Provider News - Nevada Pharmacy Mar 1, 2023

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update

Material adverse change
March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Enhancing Provider News website and email communications

March 2023 Anthem Provider News - Nevada Digital Tools Mar 1, 2023

Change notification to Medical Policies and Clinical UM Guidelines

Material adverse change
March 2023 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Mar 1, 2023

Reimbursement policy update: Modifiers 25 and 57 - Professional

March 2023 Anthem Provider News - Nevada Reimbursement Policies Mar 1, 2023

Keep up with Medicaid news

Medicaid

Please continue to check Medicaid Provider Communications & updates at anthem.com/nvmedicaiddoc for the latest Medicaid information, including:
March 2023 Anthem Provider News - Nevada Medicaid Mar 1, 2023

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:
March 2023 Anthem Provider News - Nevada Medicare Mar 1, 2023

Reminder: Updated Carelon Medical Benefits Management, Inc. Musculoskeletal Program effective April 1, 2023 - Site of care reviews

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

March 2023 Anthem Provider News - Nevada Administrative Mar 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

March 2023 Anthem Provider News - Nevada Products & Programs Mar 1, 2023

Pharmacy information available on our provider website

March 2023 Anthem Provider News - Nevada Pharmacy Mar 1, 2023

Annual planned visits

March 2023 Anthem Provider News - Nevada Medicare Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

March 2023 Anthem Provider News - Nevada Medicare Mar 1, 2023

Shared savings and transition care management after inpatient discharges

March 2023 Anthem Provider News - Nevada Medicare Mar 1, 2023

Informational Update Modifier Usage

March 2023 Anthem Provider News - Nevada Medicare Mar 1, 2023
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