Virginia
Provider Communications

June 2019 Anthem Provider Newsletter - Virginia

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Title Category

2019 Utilization management affirmative statement concerning utilization management decisions

Medicaid

AIM programs may require additional pre-service documentation

Administrative

Anthem expands specialty pharmacy prior authorization list

Pharmacy

Anthem HealthKeepers Plus Members’ Rights and Responsibilities Statement

Medicaid

Anthem launches additional changes to anthem.com for Q2

Administrative

Anthem’s Commercial Risk Adjustment reporting update: Retrospective program begins; benefits of direct connection access to your EMR

Products & Programs

Clinical practice and preventive health guidelines available on the Web

Coverage and Clinical Guidelines

Coming Soon: Anthem electronic attachments

Administrative

Complex Case Management program

Medicaid

Coverage guidelines effective September 1, 2019

Coverage and Clinical Guidelines

Drug screen testing: Professional

Administrative

Find A Doctor: New sort option

Administrative

How you can help Medicare Advantage patients adhere to their prescribed treatment plans and medications

Medicare

Important information about utilization management

Medicaid

Intervention for blood sugar control in pregnant women with diabetes

Medicaid

Keep up with Medicare news

Medicare

Pharmacy information available on anthem.com

Pharmacy

Reimbursement policy update: Professional anesthesia services

Medicaid

Review of professional claims with emergency department level 5 E&M codes

Medicaid

Review of professional claims with emergency department level 5 E&M codes impacts Medicare Advantage

Medicare

Update: Sepsis coding

Administrative

Why do patients stop taking their prescribed medications and what can you do to help them?

Medicaid
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