Virginia
Provider Communications

November 2021 Anthem Provider News - Virginia

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Title Category

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

Administrative

Change in coverage for continuous glucose monitors for some fully insured groups

Administrative

Time to prepare for HEDIS® medical record review

Administrative

Reducing the burden of medical record review and improving health outcomes with HEDIS® Electronic Clinical Data Systems reporting

Administrative

Be Antibiotics Aware: Protect your patients

Administrative

Surprisingly easy ways to help patients quit smoking cigarettes

Administrative

Join Anthem in talking about racism and its impact on health and earn continuing education credits

Administrative

Continuing medical education credits available in 2021 for a variety of clinical quality webinars: Register now

Administrative

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
Digital Tools

Against medical advice discharge physician tracking tool

Digital Tools

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - Professional

Reimbursement Policies

Update regarding annual wellness visits for health plans compliant with the Affordable Care Act

Products & Programs

Blue High Performance Network name changing for 2022

Products & Programs

Specialty pharmacy updates are available (effective for dates of service on and after February 1, 2022)

Pharmacy

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

Important update on Botox® for Anthem members

Pharmacy

Electronic data interchange process

Medicaid

Clinical Criteria updates

Medicaid

Unspecified diagnosis reminder

Medicaid

4 things you can do to encourage cancer screenings for your women patients

Medicaid

Keep up with Medicaid news: November 2021

  • FAQ: New AIM Specialty Health contact center phone number
  • Behavioral therapy assessments
  • Change to DME incontinence benefit limits
  • Prior authorization updates for specialty pharmacy
Medicaid

Medicare Advantage telehealth rural health center and federally qualified health center claims

Medicare

Electronic data interchange process

Medicare

Clinical Criteria updates

Medicare

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

Medicare

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medicare

New York City Medicare Advantage announcement

Medicare

Keep up with Medicare news: November 2021

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
Medicare
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