Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
March 2023 Anthem Provider News - Virginia
Administrative
Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviewsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2023
Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measuresAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2023
Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list updateAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Reminder: Updated Carelon Medical Benefits Management, Inc. Musculoskeletal Program effective April 1, 2023 - Site of care reviewsAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Provider directory - annual audit for NCQA AccreditationAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Outpatient Facility Revenue Code Billing Requirements - FacilityAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Advancing Mental Health Equity for Youth & Young AdultsAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Time to prepare for HEDIS medical record reviewAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
March is National Colorectal Cancer Awareness MonthGuideline Updates
Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Upcoming amendment changes for Commercial reimbursement policies for VirginiaProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2023
Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Pharmacy information available on our provider websiteAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Clinical Criteria updates for specialty pharmacy are availableAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Specialty pharmacy updates for March 2023State & Federal
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2023
Policy Update: Modifiers 25 and 57 (Policy G-06003, effective 04/01/2023)HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 1, 2023
Keep up with Medicaid news - March 2023- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
- Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List
- Carelon Medical Benefits Management, Inc. Radiology Clinical Appropriateness Guidelines CPT code list update
- Clinical Criteria updates
- Prior authorization updates for medications billed under the medical benefit (Carvykti)
- Prior authorization updates for medications billed under the medical benefit (Aduhelm)
- Applied behavior analysis
Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2023
Controlling High Blood Pressure and Submitting Compliant ReadingsAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2023
Informational Update Modifier UsageAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2023
Shared savings and transition care management after inpatient dischargesAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2023
Annual planned visitsAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2023
Keep up with Medicare news - March 2023- Update: Carelon Medical Benefits Management, Inc. Cardiology Clinical Appropriateness Guidelines CPT Code List in Virginia
- Carelon Medical Benefits Management, Inc.Genetic Testing Clinical Appropriateness Guidelines CPT code list update
- What date to select for inpatient admissions for claims
- Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements
- Updates to Carelon Medical Benefits Management, Inc. Cardiac Clinical Appropriateness Guidelines
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