Virginia
Provider Communications

February 2019 Anthem Provider Newsletter - Virginia

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Title Category

Anthem to enhance claim edits for outpatient facility claims

Administrative

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: Professional

Administrative

Physician office lab list update effective January 1, 2019

Administrative

Review ICD-10-CM Coding Guidelines: Professional

Administrative

Register soon for the first Anthem webinar for 2019: Scheduled April 10

Administrative

Misrouted protected health information (PHI)

Administrative

Receive email notifications via our Network eUPDATE

Administrative

Clinical practice and preventive health guidelines available on the Web

Coverage and Clinical Guidelines

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Products & Programs

Member satisfaction with behavioral health outpatient services

Behavioral Health

Pharmacy information available on anthem.com

Pharmacy

HEDIS® 2019 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

Reimbursement Policy for Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service

Medicaid

Reminder: Provider orientations are available

Medicaid

P.O. boxes on claims communication

Medicaid

Early intervention claims

Medicaid

Wound care treatment request update

Medicaid

Postpartum outreach initiative

Medicaid

Introducing a new clinical criteria Web page for injectable, infused or implanted drugs covered under the medical benefit

Medicaid

Diabetes: Provider guide to coding the diagnosis and treatment of diabetes

Medicaid

Reminder: Anthem follows Original Medicare policies

Medicare

Use grouped CPT codes for AIM Specialty Health authorizations

Medicare

Anthem eye refraction and routine eye exam billing information

Medicare

New specialty Medicare Part B device preferred product program

Medicare

Keep up with Medicare news

Medicare
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