Nevada
Provider Communications

Articles

Title Publication Category Date

Non-participating lab referrals

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Provider Newsletter - Nevada Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Clinical Criteria updates

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Provider surveys

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Nevada Medicaid Apr 1, 2019

Anthem expands specialty pharmacy prior authorization list

April 2019 Anthem Important Updates - Nevada Pharmacy Apr 1, 2019

Professional Fee Schedule Change Notification Letter

April 2019 Anthem Important Updates - Nevada Administrative Apr 1, 2019

New AIM Rehabilitation program effective July 1, 2019

April 2019 Anthem Important Updates - Nevada Administrative Apr 1, 2019

Partial Hospitalization and Intensive Outpatient Program Services (Facility Reimbursement Policy - New)

April 2019 Anthem Important Updates - Nevada Reimbursement Policies Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Advanced Imaging of the Head and Neck

April 2019 Anthem Important Updates - Nevada Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Advanced Imaging of the Heart

April 2019 Anthem Important Updates - Nevada Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Musculoskeletal Joint Surgery

April 2019 Anthem Important Updates - Nevada Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Sleep Disorder Management

April 2019 Anthem Important Updates - Nevada Medical Policy & Clinical Guidelines Apr 1, 2019

Medical Policy and Clinical UM Guideline changes notification letter

March 2019 Anthem Important Updates - NV Medical Policy & Clinical Guidelines Mar 1, 2019

Important reminder regarding Specialty Pharmacy clinical site of care program

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Working with Anthem Webinars - March 2019 schedule: new Availity Claim Payment Dispute Tool

March 2019 Anthem Provider Newsletter - NV Administrative Mar 1, 2019

Updated Escalation Contact List

March 2019 Anthem Provider Newsletter - NV Administrative Mar 1, 2019

Update: New process to submit claim payment disputes electronically coming March 18, 2019

March 2019 Anthem Provider Newsletter - NV Administrative Mar 1, 2019

Provider Transparency Update

March 2019 Anthem Provider Newsletter - NV Products & Programs Mar 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Important update to Anthem’s commercial drug lists

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

March 2019 Anthem Provider Newsletter - NV Pharmacy Mar 1, 2019

Anthem launches additional changes to anthem.com in March

March 2019 Anthem Provider Newsletter - NV Administrative Mar 1, 2019

Anthem Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2019 at the latest

March 2019 Anthem Provider Newsletter - NV Administrative Mar 1, 2019

Dual Eligible Special Needs Plans -- provider training required

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - NV Medicare Mar 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Body Mass Index (BMI) (Facility Reimbursement Policy - Update)

February 2019 Anthem Important Updates - NV Reimbursement Policies Feb 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Important Updates - NV Pharmacy Feb 1, 2019

Anthem to enhance claim edits for outpatient facility claims

February 2019 Anthem Important Updates - NV Administrative Feb 1, 2019

Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters

February 2019 Anthem Important Updates - NV Reimbursement Policies Feb 1, 2019

AIM Specialty Health Clinical Guidelines update - Musculoskeletal Program

February 2019 Anthem Important Updates - NV Medical Policy & Clinical Guidelines Feb 1, 2019

Medical Policy and Clinical UM Guidelines change notification letter

February 2019 Anthem Important Updates - NV Medical Policy & Clinical Guidelines Feb 1, 2019

Member Satisfaction with Behavioral Health Outpatient Services

February 2019 Anthem Provider Newsletter - NV Behavioral Health Feb 1, 2019

Pharmacy information available on anthem.com

February 2019 Anthem Provider Newsletter - NV Pharmacy Feb 1, 2019

Updated Escalation Contact List

February 2019 Anthem Provider Newsletter - NV Administrative Feb 1, 2019

Significant Edits (Professional)

February 2019 Anthem Provider Newsletter - NV Reimbursement Policies Feb 1, 2019

Reimbursement Policies are available online

February 2019 Anthem Provider Newsletter - NV Reimbursement Policies Feb 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

New specialty pharmacy medical step therapy requirements

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Prior authorization requirements for Sublocade

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Coding spotlight: diabetes - provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

My Diverse Patients: a website to support your diverse patients

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Retroactive rate adjustments

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Provider Newsletter - NV Medicaid Feb 1, 2019

Provider and Facility identified Overpayments (aka “voluntary” or “unsolicited”)

February 2019 Anthem Provider Newsletter - NV Administrative Feb 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred (Professional)

February 2019 Anthem Provider Newsletter - NV Reimbursement Policies Feb 1, 2019

Reminder: Review ICD-10-CM Coding Guidelines (Professional)

February 2019 Anthem Provider Newsletter - NV Reimbursement Policies Feb 1, 2019

Clear Claim Connection: our web-based claim edit tool

February 2019 Anthem Provider Newsletter - NV Reimbursement Policies Feb 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - NV Federal Employee Plan (FEP) Feb 1, 2019

Reminder - Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Provider Newsletter - NV Medicare Feb 1, 2019

Anthem Announces Early Launch of IngenioRx

Anthem Announces Early Launch of IngenioRx Pharmacy Jan 30, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

January 2019 New Year Brings New ID Cards and New ID Numbers for Many Anthem Members - NV Administrative Jan 25, 2019

Medical Policy and Clinical UM Guideline changes notification letter

January 2019 Anthem Important Updates - NV Medical Policy & Clinical Guidelines Jan 1, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Provider Newsletter - NV Pharmacy Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Provider Newsletter - NV Pharmacy Jan 1, 2019

Drug fee schedule update

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Update: New process to submit claim payment disputes electronically

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

SOAP Notes/Health Assessments for 2018 calendar year are due February 15, 2019

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Medical and Behavioral Health Appointment Access

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Updated Escalation Contact List

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Provider Newsletter - NV Reimbursement Policies Jan 1, 2019

Reimbursement Policies are available online

January 2019 Anthem Provider Newsletter - NV Reimbursement Policies Jan 1, 2019

Clear Claim Connection

January 2019 Anthem Provider Newsletter - NV Reimbursement Policies Jan 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - NV Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - NV Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Provider Newsletter - NV Medicare Jan 1, 2019

Improving the Patient Experience continuing medical education

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

Quality Management information

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

Electronic claim payment reconsideration

January 2019 Anthem Provider Newsletter - NV Medicaid Jan 1, 2019

Provider and Facility Manual update effective February 1, 2019 - NV

Provider and Facility Manual update effective February 1, 2019 - NV Administrative Dec 28, 2018

New Autism Codes Effective January 1, 2019 - NV

New Autism Codes Effective January 1, 2019 - NV Administrative Dec 12, 2018

Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters

December 2018 Anthem Important Updates - NV Reimbursement Policies Dec 1, 2018

Affordable Care Act Plans offered in 2019

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Networks at a Glance

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Updated Escalation Contact List

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - NV Medical Policy & Clinical Guidelines Dec 1, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - NV Medical Policy & Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - NV Medical Policy & Clinical Guidelines Dec 1, 2018

Reimbursement for Convenience Surgical Supply Kits - Professional

December 2018 Anthem Provider Newsletter - NV Reimbursement Policies Dec 1, 2018

Scope of License - Reimbursement Policy Update (Professional)

December 2018 Anthem Provider Newsletter - NV Reimbursement Policies Dec 1, 2018
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