New Hampshire
Provider Communications

Articles

Title Publication Category Date

Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy update

June 2018 New Hampshire newsletter Reimbursement Policies Jun 19, 2018

Cervical Cancer Screening using Cytology and Human Papillomavirus Testing (CG-MED-43) not implemented

June 2018 New Hampshire newsletter Reimbursement Policies Jun 19, 2018

Review of reimbursement policies – professional

June 2018 New Hampshire newsletter Reimbursement Policies Jun 19, 2018

Injectable Substances with Related Injection Services reimbursement policy update: professional

February 2019 Anthem New Hampshire Provider Newsletter Reimbursement Policies Feb 1, 2019

Body Mass Index reimbursement policy: facility

February 2019 Anthem New Hampshire Provider Newsletter Reimbursement Policies Feb 1, 2019

Durable Medical Equipment professional reimbursement policy reminders

June 2018 New Hampshire newsletter Reimbursement Policies Jun 19, 2018

Assistant Surgeon Coding update: professional

October 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Oct 1, 2018

Significant Edits: professional

February 2019 Anthem New Hampshire Provider Newsletter Reimbursement Policies Feb 1, 2019

Documentation and Reporting Guidelines for E/M Services update: professional

October 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Oct 1, 2018

Routine Obstetrical Services update: professional

October 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Oct 1, 2018

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

January 2019 Anthem New Hampshire Provider Newsletter Reimbursement Policies Jan 1, 2019

Multiple Diagnostic Imaging Reimbursement Policy update: facility

October 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Oct 1, 2018

Readmissions Reimbursement Policy update: facility

October 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Oct 1, 2018

New Facility Revenue Code Billing Reimbursement Policy

October 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Oct 1, 2018

New Partial Hospitalization Program and Intensive Outpatient Program Services Facility Reimbursement Policy

April 2019 Anthem New Hampshire Provider Newsletter Reimbursement Policies Apr 1, 2019

Claims requiring additional documentation facility reimbursement policy update

September 2018 Anthem New Hampshire Network eUpdate Reimbursement Policies Aug 30, 2018

Drug Screen Testing update: professional

May 2019 Anthem New Hampshire Provider Newsletter Reimbursement Policies May 1, 2019

Bundled Services and Supplies: professional

December 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for convenience surgical supply kits: professional

December 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Dec 1, 2018

Scope of License reimbursement policy update: professional

December 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Dec 1, 2018

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services: professional

December 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Dec 1, 2018

System updates for 2019: professional

December 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Dec 1, 2018

Modifier 79: Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional during the Postoperative Period: professional

December 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Dec 1, 2018

Bundled Services and Supplies - professional

August 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Aug 1, 2018

Once per Lifetime Procedures - professional

August 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Aug 1, 2018

Claims Requiring Additional Documentation (facility) reimbursement policy update

August 2018 Anthem New Hampshire Provider Newsletter Reimbursement Policies Aug 1, 2018

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2019 Anthem New Hampshire Provider Newsletter Products & Programs Feb 1, 2019

AIM Musculoskeletal Program Clinical Appropriateness Guidelines updates

June 2018 New Hampshire newsletter Products & Programs Jun 19, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem New Hampshire Provider Newsletter Products & Programs Dec 1, 2018

Individualized Care Program to support palliative care for commercial members

June 2018 New Hampshire newsletter Products & Programs Jun 19, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem New Hampshire Provider Newsletter Products & Programs Dec 1, 2018

AIM Specialty Health radiation oncology clinical guidelines updates

October 2018 Anthem New Hampshire Provider Newsletter Products & Programs Oct 1, 2018

AIM Specialty Health clinical guidelines update: advanced imaging of the heart

October 2018 Anthem New Hampshire Provider Newsletter Products & Programs Oct 1, 2018

AIM Specialty Health sleep disorder management clinical guidelines update

October 2018 Anthem New Hampshire Provider Newsletter Products & Programs Oct 1, 2018

Anthem fights opioid addiction

October 2018 Anthem New Hampshire Provider Newsletter Products & Programs Oct 1, 2018

AIM Radiation Oncology Clinical Appropriateness Guidelines updates

August 2018 Anthem New Hampshire Provider Newsletter Products & Programs Aug 1, 2018

AIM Advanced Imaging Clinical Appropriateness Guidelines updates

August 2018 Anthem New Hampshire Provider Newsletter Products & Programs Aug 1, 2018

New AIM Rehabilitative program effective July 1, 2019

April 2019 Anthem New Hampshire Provider Newsletter Products & Programs Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

April 2019 Anthem New Hampshire Provider Newsletter Products & Programs Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

April 2019 Anthem New Hampshire Provider Newsletter Products & Programs Apr 1, 2019

AIM Level of Care Musculoskeletal Surgery Clinical Appropriateness Guidelines updates

August 2018 Anthem New Hampshire Provider Newsletter Products & Programs Aug 1, 2018

Additional support available for members with rare conditions

August 2018 Anthem New Hampshire Provider Newsletter Products & Programs Aug 1, 2018

New pre-service clinical review requirement for EGD services begins November 1, 2018

August 2018 Anthem New Hampshire Provider Newsletter Products & Programs Aug 1, 2018

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

April 2019 Anthem New Hampshire Provider Newsletter Products & Programs Apr 1, 2019

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem New Hampshire Provider Newsletter Products & Programs Dec 1, 2018

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

March 2019 Anthem New Hampshire Provider Newsletter Pharmacy Mar 1, 2019

Specialty pharmacy clinical site of care program important reminder

March 2019 Anthem New Hampshire Provider Newsletter Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem New Hampshire Provider Newsletter Pharmacy Mar 1, 2019

Commercial drug list important updates

March 2019 Anthem New Hampshire Provider Newsletter Pharmacy Mar 1, 2019

Pharmacy information available on anthem.com

March 2019 Anthem New Hampshire Provider Newsletter Pharmacy Mar 1, 2019

Introducing new clinical criteria page for injectable, infused or implanted drugs

December 2018 Anthem New Hampshire Provider Newsletter Pharmacy Dec 1, 2018

Electronic prior authorization requests for prescription medications accepted online

December 2018 Anthem New Hampshire Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 Anthem New Hampshire Provider Newsletter Pharmacy Dec 1, 2018

Prior authorization requests for prescription medications accepted online

June 2018 New Hampshire newsletter Pharmacy Jun 19, 2018

Pharmacy information available on anthem.com

June 2018 New Hampshire newsletter Pharmacy Jun 19, 2018

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem New Hampshire Provider Newsletter Pharmacy Feb 1, 2019

Access patient-specific drug benefit information through EMR

October 2018 Anthem New Hampshire Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy prior authorization list expanded

February 2019 Anthem New Hampshire Provider Newsletter Pharmacy Feb 1, 2019

Prior authorization requests for prescription medications accepted online

October 2018 Anthem New Hampshire Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy pre-service clinical review list expanded January 1, 2019

October 2018 Anthem New Hampshire Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy clinically equivalent drug list expanded effective January 1, 2019

October 2018 Anthem New Hampshire Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy level of care (clinical site of care) drug list expanded effective January 1, 2019

October 2018 Anthem New Hampshire Provider Newsletter Pharmacy Oct 1, 2018

Pharmacy information available on anthem.com

October 2018 Anthem New Hampshire Provider Newsletter Pharmacy Oct 1, 2018

Specialty pharmacy medical step therapy drug list expanded

February 2019 Anthem New Hampshire Provider Newsletter Pharmacy Feb 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem New Hampshire Provider Newsletter Pharmacy Jan 1, 2019

Specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem New Hampshire Provider Newsletter Pharmacy May 1, 2019

Specialty pharmacy medical step therapy drug list expanded

May 2019 Anthem New Hampshire Provider Newsletter Pharmacy May 1, 2019

Pharmacy information available on anthem.com

May 2019 Anthem New Hampshire Provider Newsletter Pharmacy May 1, 2019

Specialty pharmacy pre-service clinical review list expanded effective July 1, 2019

April 2019 Anthem New Hampshire Provider Newsletter Pharmacy Apr 1, 2019

Pharmacy information available on anthem.com

April 2019 Anthem New Hampshire Provider Newsletter Pharmacy Apr 1, 2019

Drug lists supporting commercial health plans updated

August 2018 Anthem New Hampshire Provider Newsletter Pharmacy Aug 1, 2018

Daily morphine equivalent dosing limit to apply effective September 1, 2018

August 2018 Anthem New Hampshire Provider Newsletter Pharmacy Aug 1, 2018

Pre-service clinical review drug list changes effective November 1, 2018

August 2018 Anthem New Hampshire Provider Newsletter Pharmacy Aug 1, 2018

Level of care pre-service clinical review drug list changes effective November 1, 2018

August 2018 Anthem New Hampshire Provider Newsletter Pharmacy Aug 1, 2018

Pharmacy information available on anthem.com

August 2018 Anthem New Hampshire Provider Newsletter Pharmacy Aug 1, 2018

Dual eligible special needs plans: provider training required

March 2019 Anthem New Hampshire Provider Newsletter Medicare Mar 1, 2019

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

March 2019 Anthem New Hampshire Provider Newsletter 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 New Hampshire Provider Newsletter Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem New Hampshire Provider Newsletter Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem New Hampshire Provider Newsletter Medicare Mar 1, 2019

Cologuard covered for Medicare Advantage members

June 2018 New Hampshire newsletter Medicare Jun 19, 2018

Peer-to-peer process can help clarify clinical record

June 2018 New Hampshire newsletter Medicare Jun 19, 2018

MA home health network to be delegated to myNEXUS

June 2018 New Hampshire newsletter Medicare Jun 19, 2018

Medication adherence incentive offered to EPHC providers

June 2018 New Hampshire newsletter Medicare Jun 19, 2018

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

June 2018 New Hampshire newsletter Medicare Jun 19, 2018

Keep up with Medicare news

June 2018 New Hampshire newsletter Medicare Jun 19, 2018

Risk adjustment and documentation training offered

January 2019 Anthem New Hampshire Provider Newsletter Medicare Jan 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem New Hampshire Provider Newsletter Medicare Feb 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem New Hampshire Provider Newsletter Medicare Jan 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem New Hampshire Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

January 2019 Anthem New Hampshire Provider Newsletter Medicare Jan 1, 2019

Eye refraction and routine eye exam billing information

February 2019 Anthem New Hampshire Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem New Hampshire Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem New Hampshire Provider Newsletter Medicare Feb 1, 2019

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem New Hampshire Provider Newsletter Medicare Oct 1, 2018

MA back pain management and cardiology UM programs to transition from OrthoNet to AIM

October 2018 Anthem New Hampshire Provider Newsletter Medicare Oct 1, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem New Hampshire Provider Newsletter Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem New Hampshire Provider Newsletter Medicare Oct 1, 2018

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 New Hampshire Provider Newsletter Medicare Apr 1, 2019
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