Virginia
Provider Communications

January 2021 Anthem Provider News - Virginia

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Title Category

2020 Medicare risk adjustment provider trainings

Medicare

2021 FEP® benefit information available online

Federal Employee Plan (FEP)

Attachment tools for Anthem and affiliate payers: Live webinars

Administrative

Coding spotlight: HEDIS MY 2021

Medicaid

Coverage guidelines effective April 1, 2021

Coverage and Clinical Guidelines

Discharge planning

Medicaid

Disease Management/Population Health program

Medicaid

Evaluation and Management changes 2021 (Professional)

Reimbursement Policies

FDA approvals and expedited pathways used: New molecular entities (NMEs)

Medicaid

Find out in minutes why your claim denied; Introducing self-service claim denial review on our secure provider portal

Administrative

IngenioRx introduces new pharmacy network in 2021

Pharmacy

It is almost CAHPS survey time

Administrative

Keep up with Medicaid news

Medicaid

Keep up with Medicare news

Medicare

MCG Care Guidelines 24th Edition Customization

Administrative

Medical drug benefit Clinical Criteria updates

Medicaid

Medical drug benefit Clinical Criteria updates

Medicare

New Blue HPN® plans in effect

Administrative

New features added to Interactive Care Reviewer

Administrative

New state legislation prompts changes in reimbursement of services during credential process: Medicaid clarification

Medicaid

Outpatient system updates for 2021 (Facility)

Reimbursement Policies

Prior authorization updates for specialty pharmacy are available

Pharmacy

Procedure searches in Find Care: New sort option

Administrative

Professional system updates for 2021

Reimbursement Policies

Self-service, digital transactions are fast and easy

Administrative

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

Medicaid
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