Virginia
Provider Communications

Articles Category: Guideline Updates

Title Publication Category Date

Upcoming amendment changes for Commercial reimbursement policies for Virginia

March 2023 Anthem Provider News - Virginia Reimbursement Policies Mar 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Clinical Guideline update (effective May 1, 2023)

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Anthem Blue Cross and Blue Shield local precertification change in Virginia for HMO

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Anthem Blue Cross and Blue Shield local precertification change in Virginia for PPO

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Clinical Guidelines update (effective May 1, 2023)

February 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Feb 1, 2023

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Virginia Guideline Updates Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Coverage and Clinical Guidelines update (effective April 1, 2023)

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

January 2023 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 30, 2022

Anthem in Virginia’s upcoming amendment will allow posting of Commercial professional reimbursement policies online at anthem.com

January 2023 Anthem Provider News - Virginia Reimbursement Policies Dec 30, 2022

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

December 2022 Anthem Provider News - Virginia Guideline Updates Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Provider News - Virginia Reimbursement Policies Dec 1, 2022

Coverage guidelines effective February 1, 2023

November 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Nov 1, 2022

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

November 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Nov 1, 2022

Reminder: Professional reimbursement policies to be posted online

November 2022 Anthem Provider News - Virginia Reimbursement Policies Nov 1, 2022

Coverage and Clinical Guidelines update effective January 1, 2023

October 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2022

Coding update effective January 1, 2023

October 2022 Anthem Provider News - Virginia Guideline Updates Oct 1, 2022

Anthem in Virginia’s upcoming amendment will allow posting of Commercial professional reimbursement policies online at anthem.com

October 2022 Anthem Provider News - Virginia Reimbursement Policies Oct 1, 2022

Coverage guideline effective November 1, 2022

August 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jul 1, 2022

Termination of enhanced reimbursement for voluntary Cancer Care Quality program effective December 31, 2022

July 2022 Anthem Provider News - Virginia Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections - professional

July 2022 Anthem Provider News - Virginia Reimbursement Policies Jul 1, 2022

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines

June 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

June 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

June 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jun 1, 2022

Coding update effective August 1, 2022

May 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines May 1, 2022

Coverage guidelines effective July 1, 2022

April 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Apr 1, 2022

Virtual Visits: New CMS place of service code (professional and facility)

March 2022 Anthem Provider News - Virginia Reimbursement Policies Mar 1, 2022

Coverage guidelines effective April 1, 2022

January 2022 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jan 1, 2022

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

December 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2021

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

November 2021 Anthem Provider News - Virginia Reimbursement Policies Nov 1, 2021

Coverage guidelines effective January 1, 2022

October 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2021

Clinical utilization management guideline update

October 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2021

Transition to AIM Specialty Health imaging of the heart clinical appropriateness guideline for computed tomography to detect coronary artery calcification

August 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2021

New clinical guideline: Home Parenteral Nutrition, effective November 1, 2021

August 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2021

Coding update effective November 1, 2021

August 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2021

Coverage guidelines effective October 1, 2021

July 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jul 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

June 2021 Anthem Provider News - Virginia Guideline Updates Jun 1, 2021

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

June 2021 Anthem Provider News - Virginia Guideline Updates Jun 1, 2021

Update to provider utilization management reimbursement penalties for professional providers

June 2021 Anthem Provider News - Virginia Reimbursement Policies Jun 1, 2021

Clinical guideline update

May 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines May 1, 2021

Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines

May 2021 Anthem Provider News - Virginia Guideline Updates May 1, 2021

Coverage guidelines effective July 1, 2021

April 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Apr 1, 2021

MCG care guidelines 25th edition

April 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Apr 1, 2021

UPDATE for commercial providers regarding AIM sleep program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

April 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Apr 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

April 2021 Anthem Provider News - Virginia Reimbursement Policies Apr 1, 2021

UPDATE: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Provider News - Virginia Guideline Updates Mar 1, 2021

Coverage guidelines effective April 1, 2021

January 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jan 1, 2021

Evaluation and Management changes 2021 (Professional)

January 2021 Anthem Provider News - Virginia Reimbursement Policies Jan 1, 2021

Professional system updates for 2021

January 2021 Anthem Provider News - Virginia Reimbursement Policies Jan 1, 2021

Outpatient system updates for 2021 (Facility)

January 2021 Anthem Provider News - Virginia Reimbursement Policies Jan 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

December 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2020

Updates to AIM Radiation Oncology Clinical Appropriateness Guidelines

December 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)

December 2020 Anthem Provider News - Virginia Reimbursement Policies Dec 1, 2020

Updates to AIM Cardiology Clinical Appropriateness Guidelines

December 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Dec 1, 2020

Coverage guidelines effective February 1, 2021

November 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Nov 1, 2020

REMINDER: Post-service reviews using AIM

November 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Nov 1, 2020

REMINDER: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2020

Emergency department reimbursement policy

October 2020 Anthem Provider News - Virginia Reimbursement Policies Oct 1, 2020

Clinical Laboratory Improvement Amendments for Anthem

September 2020 Anthem Provider News - Virginia Reimbursement Policies Sep 1, 2020

Medical record standards

August 2020 Anthem Provider News - Virginia Guideline Updates Aug 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2020

Coverage Guidelines effective November 1, 2020

August 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2020

Injectable substances with related injection services: Professional

August 2020 Anthem Provider News - Virginia Reimbursement Policies Aug 1, 2020

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

July 2020 Anthem Provider News - Virginia Guideline Updates Jul 1, 2020

New MCG 24th edition guidelines

July 2020 Anthem Provider News - Virginia Guideline Updates Jul 1, 2020

Coverage guidelines effective October 1, 2020

July 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jul 1, 2020

Coverage guidelines effective September 1, 2020

June 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jun 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Virginia Guideline Updates May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Virginia Guideline Updates May 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Virginia Guideline Updates May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Anthem Provider News - Virginia Guideline Updates May 1, 2020

MCG Care Guidelines, 24th edition

April 2020 Anthem Provider News - Virginia Guideline Updates Apr 1, 2020

Anthem customizations to MCG Care Guidelines, 24th Edition

April 2020 Anthem Provider News - Virginia Guideline Updates Apr 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2020 Anthem Provider News - Virginia Guideline Updates Feb 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

February 2020 Anthem Provider News - Virginia Guideline Updates Feb 1, 2020

Coverage guidelines effective April 1, 2020

January 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jan 1, 2020

Important update: Milliman Care Guideline (MCG), 23rd Edition; ORG: W0163 Pelvic Organ Prolapse Repair

January 2020 Anthem Provider News - Virginia Guideline Updates Jan 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2019 Anthem Provider News - Virginia Guideline Updates Dec 1, 2019

System updates for 2020: Professional

December 2019 Anthem Provider News - Virginia Reimbursement Policies Dec 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Virginia Guideline Updates Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Virginia Guideline Updates Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Virginia Guideline Updates Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Virginia Guideline Updates Nov 1, 2019

Coverage Guidelines effective January 1, 2020

October 2019 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2019

Clinical practice and preventive health guidelines available on the Web

October 2019 Anthem Provider News - Virginia Guideline Updates Oct 1, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Virginia Reimbursement Policies Sep 1, 2019

New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019

September 2019 Anthem Provider News - Virginia Coverage and Clinical Guidelines Sep 1, 2019
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