Nevada
Provider Communications

Articles

Title Publication Category Date

Correction: New patient evaluation and management services when reported for the same patient within the last three years

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Welcome to the Custom Learning Center in Availity

July 2020 Anthem Provider News and Important Updates -- Nevada Administrative Jul 1, 2020

Anthem Electronic Attachments -- X12 275 5010

August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?

July 2020 Anthem Provider News and Important Updates -- Nevada Administrative Jul 1, 2020

Prior Authorization/Referral Request and Inpatient Admission/Discharge Notification transactions coming soon

August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

Important information about women’s preventive care visits

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions

August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

Continuing Medical Education (CME) webinar series

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

National Accounts 2022 pre-certification list

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

Time to prepare for HEDIS® medical record review

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Non-participating lab referrals

August 2019 Anthem Provider News and Important Updates - Nevada Administrative Aug 1, 2019

Guided access HMO: Additional details

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Anthem launches additional changes to anthem.com for Provider Manuals

August 2019 Anthem Provider News and Important Updates - Nevada Administrative Aug 1, 2019

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Monkeypox resources and recommendations for our care providers

This communication applies to the Commercial and Medicare Advantage programs from

Anthem Blue Cross and Blue Shield (Anthem).

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Proper coding for in-home monitoring can make a measurable difference for international normalized ratio

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Working with Anthem Webinars - August 2019 schedule: Networks Overview -- rescheduled from July

August 2019 Anthem Provider News and Important Updates - Nevada Administrative Aug 1, 2019

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Another mark of the pandemic: an increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors.
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach
September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Nevada Administrative Oct 7, 2022

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

August 2019 Anthem Provider News and Important Updates - Nevada Administrative Aug 1, 2019

A helpful and complete guide to covered well-child visits

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression - What’s in it for you and your patients?

July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

New Rates for Applied Behavioral Analysis (ABA) Services Effective January 1, 2020 (MAC) - Nevada

Material Adverse Change (MAC)
New Rates for Applied Behavioral Analysis (ABA) Services Effective January 1, 2020 - Nevada Administrative Oct 3, 2019

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

We want to help.
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Anthem makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Drug fee schedule update

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!
Clinical Quality CME Webinar Series Continues - Nevada Administrative Jul 29, 2021

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Access to claim denial information is now self-service

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Important update to provider utilization management reimbursement penalties and corresponding entry in our provider manual

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

New Blue HPN® plans go live on January 1, 2021

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

HEDIS® medical record submission made easier with our Remote EMR Access Service

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

Avoid claim denials: VYNE Medical attachment program has expired

Advise clearinghouses we no longer accept attachments through this vendor to avoid claim denials.
November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Important COVID-19 update: Prior authorization and other policy adjustments – RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.

Future updates regarding COVID-19 will appear in the monthly Provider News publication.

COVID-19 Information – Nevada – Publication RETIRED as of November 8, 2022 Administrative Jan 28, 2022

Anthem contracted Air Ambulance providers in Nevada

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

6 SIMPLE strategies to help increase medication adherence

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

May is National High Blood Pressure Education Month

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Fall Provider Seminars coming soon - register today to save your spot!

Fall 2019 Anthem Provider Seminar Invitation - NV Administrative Oct 10, 2019

Non-participating lab referrals

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Medical Access Standards

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Coordination of Care

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Availity Attachment Tools for Anthem and Affiliate Payers -- Live Webinars

November 2020 Anthem Provider News and Important Updates -- Nevada Administrative Nov 1, 2020

Enhanced search and download options allow easy access to information at your fingertips

Get the latest critical information from Anthem that impacts you; View Provider News for easy access at your fingertips - Nevada Administrative Oct 25, 2019

Get the full picture of your patient’s health through their smartphone

November 2020 Anthem Provider News and Important Updates -- Nevada Administrative Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News and Important Updates -- Nevada Administrative Nov 1, 2020

Important Information about Utilization Management

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

2-minute videos to engage patients about preventive care

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Provider bulletins for medical and itemized bill attachments

Electronic Solutions @ Your Fingertips
May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Update: Temporarily retracting roll out of Availity Claim Payment dispute tool for Commercial claims - Nevada

Update: Temporarily retracting roll out of Availity Claim Payment dispute tool for Commercial claims - Nevada Administrative Apr 5, 2019

Verifying and updating your provider information

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Non-participating lab referrals

November 2020 Anthem Provider News and Important Updates -- Nevada Administrative Nov 1, 2020

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

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Provider Newsletter - NV Administrative Oct 12, 2018

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Clinical Laboratory Improvement Amendments (CLIA) Number -- Additional Information

November 2020 Anthem Provider News and Important Updates -- Nevada Administrative Nov 1, 2020

PCP after-hours access requirements

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Update to the professional fee schedule

Anthem Blue Cross and Blue Shield (Anthem) would like to make you aware of a change to our professional fee schedule that will be effective for dates of service on or after January 1, 2023.
Update to the professional fee schedule - Nevada Administrative Oct 24, 2022

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form - Nevada Administrative Apr 5, 2019

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

October 2022 Anthem Provider News - Nevada Administrative Oct 1, 2022

Anthem’s new Digital Provider Enrollment application - now available

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form - Nevada Administrative Apr 5, 2019

Send larger digital attachments through Availity

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

National Accounts 2023 Pre-certification list

October 2022 Anthem Provider News - Nevada Administrative Oct 1, 2022

Outpatient system updates for 2023

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

Resources to support diverse patients and communities

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

CAA: Provider directories accuracy is important

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

CAA: Review your online provider directory information

October 2022 Anthem Provider News - Nevada Administrative Oct 1, 2022

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics
September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

Updates to edits associated with implants

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

The Provider Learning Hub is here

October 2022 Anthem Provider News - Nevada Administrative Oct 1, 2022

Non-participating lab referrals

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

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

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

Drug fee schedule update

October 2022 Anthem Provider News - Nevada Administrative Oct 1, 2022

Members’ Rights and Responsibilities

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Appointment scheduler application

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

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

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

Elevance Health Administrative Jun 21, 2022

Referring to network DME providers for Negative Pressure Wound Therapy helps members save on out-of-pocket costs

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Non-participating lab referrals

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

2021 Affirmative Statement Regarding Utilization Management Decisions

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Keep your contact information current

June 2021 Anthem Provider News - Nevada Administrative Jun 1, 2021

Case Management Program

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Anthem Provider News - Nevada Administrative Jun 1, 2021

Drug fee schedule update

July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

Working with Anthem Webinars - July 2019 schedule: Networks Overview

July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

Regular check-ins with your clearinghouse could affect timely filing

June 2021 Anthem Provider News - Nevada Administrative Jun 1, 2021

Coordination of Care

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Information from Anthem for Care Providers about COVID-19

Bookmark Provider News Home for the latest information for Care Providers about COVID-19.
April 2020 Anthem Provider News and Important Updates -- Nevada Administrative Apr 1, 2020

Important billing update for professional delivery claims

August 2018 Anthem Important Updates - NV Administrative Aug 17, 2018

Medical attachment capability now includes itemized bill and more!

March 2021 Anthem Provider News and Important Updates -- Nevada Administrative Mar 1, 2021

Change Notification to Provider and Facility Manual effective July 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Nevada Administrative Apr 1, 2021

Update to Provider/Facility UM reimbursement penalties and corresponding update to Provider/Facility Manual (MAC)

Material Adverse Change (MAC)
July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

Maximizing efficient, high quality COVID-19 screenings

April 2021 Anthem Provider News and Important Updates -- Nevada Administrative Apr 1, 2021

CAA: Timely updates help keep our provider directories current

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