Virginia
Provider Communications

October 2018 Anthem Provider Newsletter - Virginia

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Title Category

Anthem launches additional changes to anthem.com in October

Administrative

Tips for billing CPT modifier 33

Administrative

Anthem fights opioid addiction: Extension for Community Healthcare Outcomes and quality medication-assisted therapy

Administrative

Integrated medical and behavioral health care services

Administrative

Anthem partners with Availity to serve as our EDI Gateway

Administrative

Availity EDI Gateway webinars scheduled

Administrative

Clinical practice and preventive health guidelines available on the Web

Administrative

Receive email notifications via out Network eUPDATE

Administrative

Anthem webinar scheduled for October 10

Administrative

New precertification requirement for EGD services begins January 1, 2019

Guideline Updates

Prior authorization for genetic testing

Guideline Updates

Coverage Guidelines effective January 1, 2019

Coverage and Clinical Guidelines

Coverage guideline informational notice

Coverage and Clinical Guidelines

Update to AIM Specialty Health clinical appropriateness guidelines: Advanced imaging appropriate use criteria for imaging of the heart

Products & Programs

New precertification requirements for certain cardiovascular diagnostic and interventional services begins January 1, 2019

Products & Programs

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

Products & Programs

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

Products & Programs

Innovative ways to help improve your patients’ experiences and earn CME credits

Products & Programs

State employees eligible to participate in Vitals SmartShopper program beginning October 1

Products & Programs

HEDIS® 2018: Provider incentive winners announced

Products & Programs

Additional drugs added to the specialty pharmacy clinically equivalent drug list effective January 1, 2019

Pharmacy

Access patient-specific drug benefit information through EMR

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

HealthKeepers, Inc. fights opioid addiction: Extension for Community Health Care Outcomes and quality medication-assisted therapy

Medicaid

Orientations and training sessions offered to all providers

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid

Vaginal birth after cesarean shared decision-making aid available

Medicaid

Prior authorization requirements for Interferon beta-1a

Medicaid

Prior authorization requirements for Somatrem

Medicaid

EDI Gateway migration

Medicaid

What matters most: Improving the patient experience CME

Medicaid

Cervical length measurement by transvaginal ultrasound

Medicaid

Anthem HealthKeepers Plus member reassignment and continuity of care

Medicaid

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

Medicare

Anthem transitions Medicare Advantage back pain management and cardiology UM programs from OrthoNet to AIM

Medicare

Please evaluate statin use for Medicare Advantage members with diabetes, cardiovascular disease

Medicare

Medicare pharmacy and prescriber home starts January 2019

Medicare

Keep up with Medicare news

Medicare

Update to Durable Medical Equipment – effective October 14, 2018

Administrative
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