June 19, 2018
June 2018 New Hampshire newsletter
Administrative
CommercialJune 19, 2018
Sign-up today for Network eUPDATE – it’s free!CommercialJune 19, 2018
Member identification cards streamlinedCommercialJune 19, 2018
Receive direct deposit of patient payments with Healthcare Bill PaymentsCommercialJune 19, 2018
Claim processing update for services requiring AIM pre-service clinical reviewCommercialJune 19, 2018
Pre-service clinical review drug list changes effective September 1, 2018CommercialJune 19, 2018
Level of care pre-service clinical review drug list changes effective September 1, 2018CommercialJune 19, 2018
Verifying eligibility for expanded hospice benefitsCommercialJune 19, 2018
Durable medical equipment miscellaneous code E1399 reminderCommercialJune 19, 2018
Grievance and appeal updateCommercialJune 19, 2018
Escalation process document availableCommercialJune 19, 2018
Place of service claims processing mirrors CMS guidelinesCommercialJune 19, 2018
Clinical practice and preventive health guidelines available on anthem.comCommercialJune 19, 2018
EDI collaboration with Availity effective June 1, 2018CommercialJune 19, 2018
Misrouted protected health information (PHI)Behavioral Health
CommercialJune 19, 2018
MCG Care Guidelines adopted for behavioral health servicesCommercialJune 19, 2018
Outpatient behavioral health therapy visitsPolicy Updates
CommercialJune 19, 2018
Medical policy and clinical guidelines updates are available on anthem.comCommercialJune 19, 2018
Durable Medical Equipment professional reimbursement policy remindersCommercialJune 19, 2018
Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy updateCommercialJune 19, 2018
Cervical Cancer Screening using Cytology and Human Papillomavirus Testing (CG-MED-43) not implementedCommercialJune 19, 2018
Review of reimbursement policies – professionalProducts & Programs
CommercialJune 19, 2018
AIM Musculoskeletal Program Clinical Appropriateness Guidelines updatesCommercialJune 19, 2018
Individualized Care Program to support palliative care for commercial membersCommercialJune 19, 2018
Prior authorization requests for prescription medications accepted onlineCommercialJune 19, 2018
Pharmacy information available on anthem.comState & Federal
Medicare AdvantageJune 19, 2018
Cologuard covered for Medicare Advantage membersMedicare AdvantageJune 19, 2018
Peer-to-peer process can help clarify clinical recordMedicare AdvantageJune 19, 2018
MA home health network to be delegated to myNEXUSMedicare AdvantageJune 19, 2018
Medication adherence incentive offered to EPHC providersMedicare AdvantageJune 19, 2018
Motion Picture Industry Pension and Health Plans Offers Medicare Advantage OptionMedicare AdvantageJune 19, 2018
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