CommercialJune 1, 2021
June 2021 Anthem Provider News - Ohio
Administrative
CommercialJune 1, 2021
Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study findsCommercialJune 1, 2021
Regular check-ins with your clearinghouse could affect timely filingCommercialJune 1, 2021
Answering your claims questions is easier through chat; secure messaging will sunset soon, start using chat nowCommercialJune 1, 2021
Keep your contact information currentCommercialJune 1, 2021
Two great learning resources on one secure portalCommercialJune 1, 2021
Digital solution options with AvailityCommercialJune 1, 2021
Submit EDI corrected claims via Availity or EDIPolicy Updates
CommercialJune 1, 2021
Continuation of skilled nursing facility (SNF) process in Indiana and OhioCommercialJune 1, 2021
Updates to AIM musculoskeletal program clinical appropriateness guidelines**Notice of Material Amendment/Change to Contract (MAC)
CommercialJune 1, 2021
Updates to AIM advanced imaging clinical appropriateness guidelines**Notice of Material Amendment/Change to Contract (MAC)
CommercialJune 1, 2021
Prior authorization for genetic testing medical policy effective September 1, 2021**Notice of Material Amendment/Change to Contract (MAC)
CommercialJune 1, 2021
New Back Pain Management Program effective July 19, 2021CommercialJune 1, 2021
Medical policy and clinical guideline updates - June 2021**Notice of Material Amendment/Change to Contract (MAC)
CommercialJune 1, 2021
Reimbursement policy update: Outpatient facility claim editsCommercialJune 1, 2021
Update to evaluation and management services correct coding - ProfessionalProducts & Programs
CommercialJune 1, 2021
Let’s vaccinateCommercialJune 1, 2021
DEXA bone scan criteria for the Federal Employee Program®CommercialJune 1, 2021
Pharmacy information available at anthem.comCommercialJune 1, 2021
Updates for specialty pharmacy are available - June 2021**Notice of Material Amendment/Change to Contract (MAC)
State & Federal
Medicare AdvantageJune 1, 2021
MCG Care Guidelines 25th EditionMedicare AdvantageJune 1, 2021
Reimbursement policy reminder: Inpatient readmissionsMedicare AdvantageJune 1, 2021
Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQMedicare AdvantageJune 1, 2021
Medical policies and clinical utilization management guidelines updateMedicare AdvantageJune 1, 2021
Medicare News - June 2021View these Medicare articles:
- Anthem working with Optum to collect medical records for risk adjustment
- Medical drug benefit clinical criteria updates
- Updates to the AIM advanced imaging clinical appropriateness guidelines
- Anthem working with Optum to collect medical records for risk adjustment
- Medical drug benefit clinical criteria updates
- Updates to the AIM advanced imaging clinical appropriateness guidelines
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