Nevada
Provider Communications

Articles

Title Publication Category Date

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

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

Elevance Health Administrative Jun 21, 2022

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield (“Anthem”) and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Nevada Administrative Jun 1, 2022

Provider outreach to validate your provider data

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Updates to edits associated with implants

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

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

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Products & Programs Jun 1, 2022

Updated AIM Musculoskeletal Program effective September 1, 2022 site of care reviews (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Products & Programs Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Nevada Behavioral Health Jun 1, 2022

June 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Pharmacy Jun 1, 2022

Medical Policy and clinical UM guidelines notification update (MAC)

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

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines (MAC)

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

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines (MAC)

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

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines (MAC)

Material adverse change (MAC)

June 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2022

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

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

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jun 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

Provider notice for COVID-19 testing

Medicaid
June 2022 Anthem Provider News - Nevada Medicaid Jun 1, 2022

Keep up with Medicaid news

Medicaid
June 2022 Anthem Provider News - Nevada Medicaid Jun 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Coding tips for reporting administration of Spravato®

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Anthem announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

May is National High Blood Pressure Education month: we’ve got this!

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Evaluation and management services for COVID testing: professional (MAC)

Material adverse change (MAC)
May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

May 2022 Specialty pharmacy updates (MAC)

Material adverse change (MAC)

May 2022 Anthem Provider News - Nevada Pharmacy May 1, 2022

Join us for an FEP Quality Learning Program Live Webinar

Everything you need to know about using CPT II Codes
May 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) May 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

Treasure Island Gap Plan ID Cards

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Non-participating lab referrals

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Provider News - Nevada Administrative May 1, 2022

Member benefit lookup by procedure code

May 2022 Anthem Provider News - Nevada Digital Tools May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP® Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) 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

New Strategic Provider System implementation May 2022

Medicaid
May 2022 Anthem Provider News - Nevada Medicaid May 1, 2022

Quick tips to filing a complete and correct professional claim

Medicaid
May 2022 Anthem Provider News - Nevada Medicaid May 1, 2022

FDA warns about dental problems with buprenorphine medicines

Medicaid
May 2022 Anthem Provider News - Nevada Medicaid May 1, 2022

Screening for alcohol use disorder in high-prevalence demographics

Medicaid
May 2022 Anthem Provider News - Nevada Medicaid May 1, 2022

Keep up with Medicaid news

Medicaid
May 2022 Anthem Provider News - Nevada Medicaid May 1, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - Nevada Administrative Apr 5, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Nevada Administrative Apr 1, 2022

HEDIS 2022: Summary of changes from NCQA

April 2022 Anthem Provider News - Nevada Administrative Apr 1, 2022

Importance of behavioral healthcare after-hours messaging

April 2022 Anthem Provider News - Nevada Administrative Apr 1, 2022

Reminder on Botox® for Anthem members

April 2022 Anthem Provider News - Nevada Administrative Apr 1, 2022

Catching up on routine vaccines

April 2022 Anthem Provider News - Nevada Administrative Apr 1, 2022

CAA: Update your provider directory information

April 2022 Anthem Provider News - Nevada Administrative Apr 1, 2022

Procedure searches in Find Care

April 2022 Anthem Provider News - Nevada Digital Tools Apr 1, 2022

Pharmacy information available on anthem.com

April 2022 Anthem Provider News - Nevada Pharmacy Apr 1, 2022

Drug fee schedule update

April 2022 Anthem Provider News - Nevada Pharmacy Apr 1, 2022

April 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
April 2022 Anthem Provider News - Nevada Pharmacy Apr 1, 2022

Medical Policy and clinical UM guidelines notification (MAC)

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

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Apr 1, 2022

Keep up with Medicare news

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

2021 CAHPS Survey results

Medicaid
April 2022 Anthem Provider News - Nevada Medicaid Apr 1, 2022

Disease Management/Population Health program

Medicaid
April 2022 Anthem Provider News - Nevada Medicaid Apr 1, 2022

Phone number change for AIM in Nevada

Medicaid
April 2022 Anthem Provider News - Nevada Medicaid Apr 1, 2022

Provider administered drugs

Medicaid
April 2022 Anthem Provider News - Nevada Medicaid Apr 1, 2022

Keep up with Medicaid news

Medicaid
April 2022 Anthem Provider News - Nevada Medicaid 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

City of New York Retirees Transition to NYC Medicare Advantage Plus Delayed

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date.
Transition to NYC Medicare Advantage Plus Delayed Administrative Mar 15, 2022

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Register today for a forum on Exploring Implicit Bias in Healthcare for Historically Marginalized Communities hosted by Anthem Blue Cross and Blue Shield (“Anthem”) and Motivo* for Anthem providers on March 16, 2022. Exploring Implicit Bias in Healthcare for Historically Marginalized Communities has been approved by NBCC for 1.5 hours of NBCC credit. Motivo is solely responsible for all aspects of the program. NBCC Approval No. SP-3833.
Exploring Implicit Bias in Healthcare - Nevada Administrative Mar 2, 2022

New! Vaccination resource page for providers

March 2022 Anthem Provider News - Nevada Administrative Mar 1, 2022

CAA: Have you reviewed your online provider directory information lately?

March 2022 Anthem Provider News - Nevada Administrative Mar 1, 2022

Your influence matters: Recommending cancer screenings to your patients

March 2022 Anthem Provider News - Nevada Administrative Mar 1, 2022

Understanding your patients’ differences is lifesaving

March 2022 Anthem Provider News - Nevada Administrative Mar 1, 2022

Simplifying requests for additional information

March 2022 Anthem Provider News - Nevada Digital Tools Mar 1, 2022

Enhancements to the Availity Authorization application are now available

March 2022 Anthem Provider News - Nevada Digital Tools Mar 1, 2022

Updated Preventive Care Guidance regarding screening colonoscopies

March 2022 Anthem Provider News - Nevada Products & Programs Mar 1, 2022

March 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Nevada Pharmacy Mar 1, 2022

Correction to February 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
March 2022 Anthem Provider News - Nevada Pharmacy Mar 1, 2022

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates (MAC)

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

Change to the Federal Employee Program® clinical grievance and appeal address

March 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Mar 1, 2022

HEDIS 2022 Federal Employee Program® medical record request requirements

March 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Mar 1, 2022
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