CommercialOctober 1, 2021
October 2021 Anthem Provider News - Ohio
Administrative
CommercialOctober 1, 2021
Looking to earn CME credits? Register for these on-demand webinars!CommercialOctober 1, 2021
Clinical appealsCommercialOctober 1, 2021
Good news! Non-payment remittance advice enhancements coming soonCommercialOctober 1, 2021
Clarification: Anthem’s enhanced claim edits for outpatient facility claimsCommercialOctober 1, 2021
Are you talking to ALL of your patients about breast cancer screenings?CommercialOctober 1, 2021
Your recommendation is key to encouraging cancer screenings for your female patientsCommercialOctober 1, 2021
Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022CommercialOctober 1, 2021
Procedure searches in Find CarePolicy Updates
CommercialOctober 1, 2021
Medical policy and clinical guideline updates - October 2021**Notice of Material Amendment/Change to Contract (MAC)
CommercialOctober 1, 2021
Reimbursement policy clarification: Claims requiring additional documentation - FacilityCommercialOctober 1, 2021
New reimbursement policy: Multiple and Bilateral Surgery Processing - Facility**Notice of Material Amendment/Change to Contract (MAC)
Products & Programs
CommercialOctober 1, 2021
Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021CommercialOctober 1, 2021
Designated specialty pharmacy network updates effective January 1, 2022**Notice of Material Amendment/Change to Contract (MAC)
CommercialOctober 1, 2021
Pharmacy information available at anthem.comCommercialOctober 1, 2021
Specialty pharmacy updates are available - October 2021**Notice of Material Amendment/Change to Contract (MAC)
State & Federal
Medicare AdvantageOctober 1, 2021
Get your payments faster when you sign up for electronic funds transferMedicare AdvantageOctober 1, 2021
New medical step therapy requirementsMedicare AdvantageOctober 1, 2021
HEDIS medical record submission made easier with our Remote EMR Access ServiceMedicare AdvantageOctober 1, 2021
Information about 2021 Special Needs PlansMedicare AdvantageOctober 1, 2021
New reimbursement policy: Sexually transmitted infections testing (Professional)Medicare AdvantageOctober 1, 2021
Keep up with Medicare news - October 2021View these Medicare articles:
- 2021 affirmative statement concerning utilization management decisions
- May 2021 Medical Policies and Utilization Management Guidelines update
- 2021 affirmative statement concerning utilization management decisions
- May 2021 Medical Policies and Utilization Management Guidelines update
To view this publication online:
Visit https://providernews.anthem.com/ohio/publications/october-2021-anthem-provider-news-ohio-1096
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