Nevada
Provider Communications

Articles

Title Publication Category Date

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

Annual wellness visits for Medicare Advantage members

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Pharmacy newsletter

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Clinical Criteria updates

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

New Strategic Provider System will launch in April 2022

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Keep up with Medicare news

Medicare Advantage
March 2022 Anthem Provider News - Nevada Medicare Mar 1, 2022

Medicaid eLearning is here!

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

It is CAHPS survey time!

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

Urinary tract infection toolkits are on the way

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

New Strategic Provider System will launch in April 2022

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

Importance of provider directory accuracy

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

Anthem will no longer accept medical attachments through VYNE Medical effective May 1, 2022 (MAC)

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

It is CAHPS survey time!

February 2022 Anthem Provider News - Nevada Administrative Feb 1, 2022

Cancer Care Navigator

February 2022 Anthem Provider News - Nevada Products & Programs Feb 1, 2022

Heart disease is the number one killer of women

February 2022 Anthem Provider News - Nevada Administrative Feb 1, 2022

Prepare for the Consolidated Appropriations Act: Keep your provider directory information current

February 2022 Anthem Provider News - Nevada Administrative Feb 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Provider News - Nevada Pharmacy Feb 1, 2022

February 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
February 2022 Anthem Provider News - Nevada Pharmacy Feb 1, 2022

Medical Policy and clinical UM guidelines notification (MAC)

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

Get faster payments with EFT

Medicare Advantage
February 2022 Anthem Provider News - Nevada Medicare Feb 1, 2022

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

Medicare Advantage
February 2022 Anthem Provider News - Nevada Medicare Feb 1, 2022

Keep up with Medicare news

Medicare Advantage
February 2022 Anthem Provider News - Nevada Medicare Feb 1, 2022

The Behavioral Health Areas of Expertise Profile improves the referral process

Medicaid
February 2022 Anthem Provider News - Nevada Medicaid Feb 1, 2022

Botox update for Anthem Blue Cross and Blue Shield Healthcare Solutions members

Medicaid
February 2022 Anthem Provider News - Nevada Medicaid Feb 1, 2022

Get faster payments with EFT

Medicaid
February 2022 Anthem Provider News - Nevada Medicaid Feb 1, 2022

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

Medicaid
February 2022 Anthem Provider News - Nevada Medicaid Feb 1, 2022

Updates to the Anthem Blue Cross and Blue Shield Healthcare Solutions provider manual for Nevada Medicaid

Medicaid
February 2022 Anthem Provider News - Nevada Medicaid Feb 1, 2022

Keep up with Medicaid news

Medicaid
February 2022 Anthem Provider News - Nevada Medicaid Feb 1, 2022

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

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing Providers Nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

Important Update for New 200k Group Retiree PPO Plan Administrative Jan 5, 2022

Well-child visits: Know the numbers

January 2022 Anthem Provider News - Nevada Administrative Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

Medicare Advantage
January 2022 Anthem Provider News - Nevada Medicare Jan 1, 2022

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

Medicare Advantage
January 2022 Anthem Provider News - Nevada Medicare Jan 1, 2022

Caesar’s new employer group for Anthem effective January 1, 2022!

January 2022 Anthem Provider News - Nevada Administrative Jan 1, 2022

Blue High Performance Network name changing for 2022

January 2022 Anthem Provider News - Nevada Administrative Jan 1, 2022

Drug fee schedule update

January 2022 Anthem Provider News - Nevada Pharmacy Jan 1, 2022

2022 FEP® Benefit information available online

January 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jan 1, 2022

Keep up with Medicare news

Medicare Advantage

January 2022 Anthem Provider News - Nevada Medicare Jan 1, 2022

Keep up with Medicaid news

Medicaid

January 2022 Anthem Provider News - Nevada Medicaid Jan 1, 2022

Anthem Blue Cross and Blue Shield is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback
Availity Authorization App improvements - NV Digital Tools Dec 28, 2021

Important information about utilization management

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Member rights and responsibilities

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Coordination of care

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Professional system updates for 2022

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Outpatient system updates for 2022

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Chlamydia is asymptomatic. Only through screening will we know for sure.

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Behavioral healthcare appointment access requirements

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Importance of PCP after-hours messaging

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Non-participating lab referrals

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

UPDATE: Implementation of provider claim payment dispute process for Commercial lines of business has been delayed

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Provider News - Nevada Digital Tools Dec 1, 2021

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
December 2021 Anthem Provider News - Nevada Digital Tools Dec 1, 2021

Is prior authorization required?

Answering your questions about the new Availity Authorization App
December 2021 Anthem Provider News - Nevada Digital Tools Dec 1, 2021

Company to retire Blue Precision program on December 31, 2021

December 2021 Anthem Provider News - Nevada Products & Programs Dec 1, 2021

Case Management Program

December 2021 Anthem Provider News - Nevada Products & Programs Dec 1, 2021

December 2021 specialty pharmacy updates (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Pharmacy Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Nevada Pharmacy Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional) (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Virtual Visits (professional and facility)

December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams (professional)

December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

Policy Update: Drug Screen Testing

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Somatus is your resource for kidney care management

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021
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