Virginia
Provider Communications

February 2019 Anthem Provider Newsletter - Virginia

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Title Category

Anthem eye refraction and routine eye exam billing information

Medicare

Anthem to enhance claim edits for outpatient facility claims

Administrative

Clinical practice and preventive health guidelines available on the Web

Coverage and Clinical Guidelines

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

Medicaid

Early intervention claims

Medicaid

HEDIS® 2019 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

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

Medicaid

Keep up with Medicare news

Medicare

Member satisfaction with behavioral health outpatient services

Behavioral Health

Misrouted protected health information (PHI)

Administrative

New specialty Medicare Part B device preferred product program

Medicare

P.O. boxes on claims communication

Medicaid

Pharmacy information available on anthem.com

Pharmacy

Physician office lab list update effective January 1, 2019

Administrative

Postpartum outreach initiative

Medicaid

Receive email notifications via our Network eUPDATE

Administrative

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

Administrative

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: Anthem follows Original Medicare policies

Medicare

Reminder: Provider orientations are available

Medicaid

Review ICD-10-CM Coding Guidelines: Professional

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

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Products & Programs

Use grouped CPT codes for AIM Specialty Health authorizations

Medicare

Wound care treatment request update

Medicaid
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