CommercialJuly 1, 2022
July 2022 Newsletter
Administrative
CommercialJune 30, 2022
Physician Office Lab Listing - updates effective August 1, 2022CommercialJune 30, 2022
Clearing up coding confusion for diabetic retinal screeningsCommercialJune 30, 2022
More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesityCommercialJune 30, 2022
CAA: Keep your provider directory information currentCommercialJune 30, 2022
Update to facility editing: HCPCS code G0463CommercialJune 30, 2022
Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022CommercialJune 30, 2022
Updates to edits associated with implantsCommercialJune 30, 2022
Help patients heal from the comfort of home with Hospital in Home careCommercialJune 30, 2022
Introducing Elevance Health - Focusing on whole health and its most powerful driversCommercialJune 30, 2022
Provider manual updated effective October 1, 2022CommercialJune 30, 2022
Enhancing claims attachment processes through digital applicationsBehavioral Health
CommercialJune 30, 2022
MCG to InterQual Behavioral Health TransitionPolicy Updates
CommercialJune 30, 2022
Reimbursement policy update: Laboratory and Venipuncture Services - Professional & FacilityMaterial Adverse Change (MAC)
CommercialJune 30, 2022
Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU - professionalMaterial Adverse Change (MAC)
CommercialJune 30, 2022
New reimbursement policy: Transitional Care Management - professionalCommercialJune 30, 2022
Retraction for reimbursement policy — Sexually Transmitted Infections - professionalCommercialJune 30, 2022
New reimbursement policy: Place of Service - facilityCommercialJune 30, 2022
Reimbursement policy update: Modifier Rules – ProfessionalCommercialJune 30, 2022
New reimbursement policy: Modifier FB – Professional and FacilityProducts & Programs
CommercialJune 30, 2022
Radiology prior authorization review transitioning to AIMCommercialJune 30, 2022
Pharmacy information available onlineCommercialJune 30, 2022
Clinical Criteria updates for specialty pharmacyMaterial Adverse Change (MAC)
State & Federal
MedicaidJune 30, 2022
Update to electronic verification visit key pointsMedicaidJune 30, 2022
Prior authorization requirement changes effective August 1, 2022MedicaidJune 30, 2022
MCG care guidelines 26th editionMedicaidJune 30, 2022
Provider reimbursement for Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Counseling programMedicaidJune 30, 2022
Keep up with Medicaid news- July 2022View these Medicaid articles:
- Three-point match verification for professional claims payment
- Prior authorization updates for medications billed under the medical benefit
- Updates for medication codes billed under the medical benefit
Medicare AdvantageJune 30, 2022
MCG care guidelines 26th editionMedicare AdvantageJune 30, 2022
Bedford Central School District, New York moves to the Empire BlueCross BlueShield Retiree Solutions Medicare Advantage PlanMedicare AdvantageJune 30, 2022
Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management servicesMedicare AdvantageJune 30, 2022
Cancer Care NavigatorMedicare AdvantageJune 30, 2022
Keep up with Medicare news - July 2022View this Medicare article:
- New specialty pharmacy medical step therapy requirements
To view this publication online:
Visit https://providernews.anthem.com/new-york/publications/july-2022-newsletter-1414
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