Virginia
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Urgent: Update to behavioral health claims processing

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Coverage Guidelines and Clinical Utilization Management Guidelines update

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Latest updates to Electronic Data Interchange Gateway migration

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Practitioners’ rights during credentialing process

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Anthem HealthKeepers Plus provider surveys

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Clinical Criteria updates

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Help prevent preeclampsia with prenatal aspirin

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Reminder: Precertification requirements

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Anthem HealthKeepers Plus emergency transportation claims update

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Wound care treatment request update

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Quality of Care and Critical Incidents training

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Provider Newsletter - Virginia Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Virginia Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Provider Newsletter - Virginia Medicare Apr 1, 2019

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

March 2019 Anthem Provider Newsletter - Virginia Medicaid Mar 1, 2019

Direct contracting for nurse practitioners and physician assistants in 2019

March 2019 Anthem Provider Newsletter - Virginia Medicaid Mar 1, 2019

Policy Update Modifier 25: Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service

March 2019 Anthem Provider Newsletter - Virginia Medicaid Mar 1, 2019

Early intervention claims

March 2019 Anthem Provider Newsletter - Virginia Medicaid Mar 1, 2019

Update: Evaluation and management with Modifier 25

March 2019 Anthem Provider Newsletter - Virginia Medicaid Mar 1, 2019

Dual Eligible Special Needs Plans: Provider training required

March 2019 Anthem Provider Newsletter - Virginia Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - Virginia Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Virginia Medicare Mar 1, 2019

Anthem to contract directly with NPs, PAs in 2019

March 2019 Anthem Provider Newsletter - Virginia Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - Virginia Medicare Mar 1, 2019

Introducing a new clinical criteria Web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - Virginia Medicare Mar 1, 2019

HEDIS® 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Feb 1, 2019

Reimbursement Policy for Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Reminder: Provider orientations are available

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

P.O. boxes on claims communication

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Early intervention claims

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Wound care treatment request update

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Postpartum outreach initiative

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Introducing a new clinical criteria Web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Diabetes: Provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

CORRECTION: Postpartum follow-up care incentives

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

Coverage Guidelines and Clinical Utilization Management Guidelines update

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

My Diverse Patients: A reminder about a website to support your diverse patients

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - Virginia Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - Virginia Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Provider Newsletter - Virginia Medicare Jan 1, 2019

Orientations and training sessions offered to all providers

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Reimbursement policy: Claims requiring additional documentation

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Coding spotlight: Substance use disorders and smoking

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Prior authorization requirements for Sublocade

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Quality of care review

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Coverage Guidelines and Clinical Utilization Management Guidelines update

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Anthem HealthKeepers Plus pharmacy management information

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Practitioners’ rights during credentialing process

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Quarterly pharmacy formulary change notice

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Electronic data interchange gateway update

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Precertification requirements reminder

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

MyDiversePatients.com

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

2019 FEP® benefit information available online

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

Coordination of benefits for FEP® members

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

When and how to initiate Medicare Advantage re-openings

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

Keep up with Medicare news

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

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

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Orientations and training sessions offered to all providers

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Medical Policies and Clinical Utilization Management Guidelines update

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Vaginal birth after cesarean shared decision-making aid available

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Prior authorization requirements for Interferon beta-1a

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Prior authorization requirements for Somatrem

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

EDI Gateway migration

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

What matters most: Improving the patient experience CME

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Anthem HealthKeepers Plus member reassignment and continuity of care

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

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

October 2018 Anthem Provider Newsletter - Virginia Medicare Oct 1, 2018

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

October 2018 Anthem Provider Newsletter - Virginia Medicare Oct 1, 2018

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

October 2018 Anthem Provider Newsletter - Virginia Medicare Oct 1, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Provider Newsletter - Virginia Medicare Oct 1, 2018

Keep up with Medicare news

October 2018 Anthem Provider Newsletter - Virginia Medicare Oct 1, 2018

Mailing address for Federal Employee Program® paper claims and related correspondence

August 2018 Anthem Provider Newsletter -- Virginia Federal Employee Plan (FEP) Aug 17, 2018

Anthem HealthKeepers Plus coding spotlight — Obesity

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Reimbursement policy: Medical Recalls

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Normal newborn diagnosis-related group claims processing update

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Prior authorization requirements for Cabazitaxel (Jevtana)

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

New pregnancy notification process using the Availity portal Benefit Look-up tool for Anthem HealthKeepers Plus members

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Important information about utilization management from HealthKeepers, Inc.

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Anthem HealthKeepers Plus Member’s Rights and Responsibilities Statement from HealthKeepers, Inc.

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Postpartum outreach initiative

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

New collaboration with Edgepark for breast pump supply management

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

HealthKeepers, Inc. adopts 22nd edition of the MCG care guidelines

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Electronic Data Interchange migration to Availity

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

DME providers and physicians: Important wheelchair prior authorization information

August 2018 Anthem Provider Newsletter -- Virginia Medicare Aug 17, 2018

Submit PA medication requests electronically; new phone number for Medicare Advantage prescription PAs effective September 1

August 2018 Anthem Provider Newsletter -- Virginia Medicare Aug 17, 2018

MyDiversePatients.com addresses health care disparities

August 2018 Anthem Provider Newsletter -- Virginia Medicare Aug 17, 2018
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