Virginia
Provider Communications

Articles Category: State & Federal > Medicare

Title Publication Category Date

Direct contracting for nurse practitioners and physician assistants in 2019

December 2019 Anthem Provider News - Virginia Medicare Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Virginia Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

December 2019 Anthem Provider News - Virginia Medicare Dec 1, 2019

Reminder to Medicare Advantage providers: Refer patients to contracted network specialists

December 2019 Anthem Provider News - Virginia Medicare Dec 1, 2019

Keep up with Medicare news

December 2019 Anthem Provider News - Virginia Medicare Dec 1, 2019

Attention professional providers serving Medicare Advantage patients: Important update from Anthem regarding timely filing requirement

November 2019 Anthem Provider News - Virginia Medicare Nov 1, 2019

CMS reminder: Expedited/urgent requests

November 2019 Anthem Provider News - Virginia Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

November 2019 Anthem Provider News - Virginia Medicare Nov 1, 2019

Keep up with Medicare news

November 2019 Anthem Provider News - Virginia Medicare Nov 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

An update about Anthem’s direct contracting effort for nurse practitioners and physician assistants

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Aspire Telehealth Palliative Care program: Aspire Health* for Medicare members in need of telephonic palliative care

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Keep up with Medicare news

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Virginia Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Virginia Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News - Virginia Medicare Sep 1, 2019

Changes to PA requirements

September 2019 Anthem Provider News - Virginia Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News - Virginia Medicare Sep 1, 2019

Keep up with Medicare news

September 2019 Anthem Provider News - Virginia Medicare Sep 1, 2019

Reimbursement policy: New policy for drug screen testing

August 2019 Anthem Provider News - Virginia Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Provider News - Virginia Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Virginia Medicare Aug 1, 2019

Special needs plans: Provider training required

August 2019 Anthem Provider News - Virginia Medicare Aug 1, 2019

Keep up with Medicare news

August 2019 Anthem Provider News - Virginia Medicare Aug 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News - Virginia Medicare Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News - Virginia Medicare Jul 1, 2019

Electronic claim payment reconsideration: Virginia

July 2019 Anthem Provider News - Virginia Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Provider News - Virginia Medicare Jul 1, 2019

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

June 2019 Anthem Provider Newsletter - Virginia Medicare Jun 1, 2019

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

June 2019 Anthem Provider Newsletter - Virginia Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Anthem Provider Newsletter - Virginia Medicare Jun 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Provider Newsletter - Virginia Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem Provider Newsletter - Virginia Medicare May 1, 2019

Fall prevention tips

May 2019 Anthem Provider Newsletter - Virginia Medicare May 1, 2019

Keep up with Medicare news

May 2019 Anthem Provider Newsletter - Virginia Medicare May 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

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

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

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

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

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

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

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019

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

Keep up with Medicare news

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