CommercialFebruary 1, 2019

February 2019 Anthem Ohio Provider Newsletter

Administrative

AdministrativeCommercialFebruary 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: February 2019
Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.

AdministrativeCommercialFebruary 1, 2019

Reminder: Inpatient commercial claim denials

AdministrativeCommercialFebruary 1, 2019

HEDIS® 2019: Controlling High Blood Pressure (CBP)

Policy Updates

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2019

Medical Policy and Clinical Guidelines: February 2019*

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2019

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

Reimbursement PoliciesCommercialFebruary 1, 2019

Update regarding E/M with modifier 25 - Professional*

Reimbursement PoliciesCommercialFebruary 1, 2019

Reimbursement Policy Updates: February 2019*

Products & Programs

Federal Employee Program (FEP)CommercialFebruary 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

PharmacyCommercialFebruary 1, 2019

Clinical criteria updates for specialty pharmacy*

PharmacyCommercialFebruary 1, 2019

Anthem expands specialty pharmacy prior authorization list*

PharmacyCommercialFebruary 1, 2019

Pharmacy information available at anthem.com

State & Federal

State & FederalMedicare AdvantageFebruary 1, 2019

Reminder: Anthem follows Original Medicare policies

State & FederalMedicare AdvantageFebruary 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

State & FederalMedicare AdvantageFebruary 1, 2019

Anthem eye refraction and routine eye exam billing information

State & FederalMedicare AdvantageFebruary 1, 2019

New specialty Medicare Part B device preferred product program

State & FederalMedicare AdvantageFebruary 1, 2019

Keep up with Medicare news