Nevada
Provider Communications

Articles Month: July 2022

Title Publication Category Date

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Nevada Administrative Jul 20, 2022

Nevada referral management policy

All members on a product with referral management will have an attributed PCP within the product parameters.
Nevada referral management policy Policy Updates Jul 7, 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

Medical drug benefit Clinical Criteria updates

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Drug screening and testing policy changes

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Experience the difference: Your Provider Experience team

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

New process for making requests to the state to consider covering non-covered codes

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Keep up with Medicaid news

Medicaid

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Prior authorization updates for medications billed under the medical benefit

Updates for medication codes billed under the medical benefit
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Update to facility editing: HCPCS code G0463

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Drug fee schedule update

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Non-participating lab referrals

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Experience the difference: Your Provider Experience team

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Coming soon: The Anthem Blue Cross and Blue Shield Provider Learning Hub makes Availity learning easier

July 2022 Anthem Provider News - Nevada Digital Tools Jul 1, 2022

Enhancing claims attachment processes through digital applications

Add attachments through Claims Status Inquiry
July 2022 Anthem Provider News - Nevada Digital Tools Jul 1, 2022

Pharmacy information available online

July 2022 Anthem Provider News - Nevada Pharmacy Jul 1, 2022

Change notification to Medical Policies and Clinical UM Guidelines (MAC)

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

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jul 1, 2022

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

July 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jul 1, 2022

Reimbursement policy update: Place of Service (Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

New reimbursement policy: Transitional Care Management (Professional)

July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU (Professional)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections (Professional)

July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

New reimbursement policy: Modifier FB (Professional & Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Laboratory and Venipuncture Services (Professional & Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules (Professional)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies 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
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