Virginia
Provider Communications

July 2021 Anthem Provider News - Virginia

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Title Category

Proper coding for in-home monitoring can make a measurable difference for international normalized ratio blood test

Administrative

Timely receipt of primary payer’s explanation of benefits can help reduce timely filing denials for secondary claims

Administrative

LabCorp is the exclusive laboratory for HealthKeepers, Inc.

Administrative

Another mark of the pandemic: An increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors
Administrative

New Strategic Provider System launch delayed

Digital Tools

New search option for cases submitted through Interactive Care Reviewer

Digital Tools

Electronic claims response files

Digital Tools

Clinical quality in practice webinar series

Digital Tools

How to enroll in electronic funds transfer for faster remittance

Digital Tools

Coverage guidelines effective October 1, 2021

Coverage and Clinical Guidelines

Company to retire Blue Precision program at the end of the year

Products & Programs

Certain specialty medication precertification requests may require additional documentation

Pharmacy

UPDATE: Site of Care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Pharmacy

Updates for specialty pharmacy are available

Pharmacy

Federal Employee Program® AIM radiology prior authorization review

Federal Employee Plan (FEP)

Reimbursement policy: Modifier 90; reference (outside) laboratory and pass-through billing

Medicaid

Attention facilities: Sending admission, discharge and transfer data to HealthKeepers, Inc. results in improved care management for Anthem HealthKeepers Plus patients

Medicaid

Coding spotlight: Mental disorders in childhood

Medicaid

What matters most: Improving the patient experience

Medicaid

Resources to support your diverse patient panel

Medicaid

Suicide prevention and intervention: What you need to know

Medicaid

Prior authorization requirement changes effective September 1, 2021

Medicaid

Prior authorization requirement changes for medical codes 0205U, 0209U, and 0218U effective September 1, 2021

Medicaid

Prior authorization requirement changes for multiple medical codes effective September 1, 2021

Medicaid

Certain specialty medication precertification requests may require additional documentation

Medicaid

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
Medicaid

Medical drug benefit Clinical Criteria updates

Medicaid

Keep up with Medicaid news

Medicaid

Reimbursement policy: Modifier 90; Reference (outside) laboratory and pass-through billing

Medicare

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

Medicare

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

 

Medicare

Prior authorization requirement changes for codes A0426 and A0428 effective October 1, 2021

Medicare

Medical drug benefit Clinical Criteria updates

Medicare

Keep up with Medicare news

Medicare
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