New Hampshire
Provider Communications

June 2022 Anthem New Hampshire Provider News

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Title Category

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

Administrative

Provider outreach to validate your provider data

Administrative

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

Administrative

CAA: Provider directories accuracy is important

Administrative

Exploring the Intersection of Race and Disability forum

Administrative

Opioid overdose deaths: What can we do?

Behavioral Health

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

Federal Employee Plan (FEP)

Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines

Notice of material change/amendment to contract
Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare

Medical policies and clinical utilization management guidelines update

Medicare

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

Medicare

Medical drug benefit clinical criteria updates

Medicare

Evaluation and management services for COVID testing - professional

Medicare

Keep up with Medicare news

  • Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
Medicare

Specialty pharmacy updates - June 2022

Pharmacy

Updated AIM Musculoskeletal Program effective September 1, 2022 - site of care reviews

Products & Programs

Updated AIM Musculoskeletal Program effective October 1, 2022

Products & Programs

Updates to edits associated with implants

Reimbursement Policies

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

Reimbursement Policies
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