Virginia
Provider Communications

July 2019 Anthem Provider News - Virginia

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Title Category

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Guideline Updates

Update to rules governing reimbursement for LMHPs for servicing only Anthem HealthKeepers Plus members

Medicaid

Unspecified diagnosis code update

Medicaid

Telemedicine Services: Expansion of Section 38.2-3418.16 of the Code of Virginia

Administrative

Sepsis diagnosis coding and billing reminder

Medicaid

REMINDER: Change to toll-free phone lines for Provider Services in Virginia

Administrative

Outpatient Rehabilitation Program transitioning to AIM

Medicare

Oncology clinical criteria updates for specialty pharmacy

Pharmacy

New state legislation prompts changes for reimbursement of services during credentialing process for mental health professionals

Administrative

New service types added to Availity

Medicaid

Modifier 79 reminder: Professional

Administrative

Modifier 63 reminder: Professional

Administrative

Make the move to the Availity EDI Gateway today

Administrative

Keep up with Medicare news

Medicare

Keep up with Medicaid news

Medicaid

ICD-10-CM coding guidelines and laterality: Professional

Administrative

Home health billing guidelines for contracted providers

Medicare

Ethics and Fairness in Carrier Business Practices

Administrative

Electronic claim payment reconsideration: Virginia

Medicare

Electronic claim payment reconsideration

Medicaid

Coding Spotlight: Hypertension

Medicaid

Clinical validation: Professional

Administrative

Clinical criteria coding updates for specialty pharmacy are available

Pharmacy

Changes coming to Claim Status Inquiry and Secure Messaging on the Availity Portal

Administrative

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific specialty drugs and site of care

Federal Employee Plan (FEP)

Anthem Commercial Risk Adjustment reporting update: 2019 Program year progression

Products & Programs

An important reminder from Anthem about home sleep testing with NovaSom

Products & Programs
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