Virginia
Provider Communications

Articles Category: Guideline Updates

Title Publication Category Date

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

Clinical practice and preventive health guidelines available on the Web

September 2019 Anthem Provider News - Virginia Guideline Updates Sep 1, 2019

Anthem in Virginia implements customizations to MCG care guidelines 23rd edition

August 2019 Anthem Provider News - Virginia Guideline Updates Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2019 Anthem Provider News - Virginia Guideline Updates Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Virginia Guideline Updates Aug 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Virginia Guideline Updates Aug 1, 2019

Coverage Guidelines effective November 1, 2019

August 2019 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2019

Clinical practice and preventive health guidelines available on the Web

August 2019 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Anthem Provider News - Virginia Guideline Updates Jul 1, 2019

Coverage guidelines effective September 1, 2019

June 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Jun 1, 2019

Clinical practice and preventive health guidelines available on the Web

June 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Jun 1, 2019

Coverage guideline informational notice

May 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines May 1, 2019

MCG care guidelines 23rd Edition

May 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines May 1, 2019

Anthem customizations to MCG care guideline 23rd Edition

May 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines May 1, 2019

Clinical practice and preventive health guidelines available on the Web

May 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines May 1, 2019

Clinical guideline effective April 1, 2019

April 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Apr 1, 2019

Coverage Guidelines effective July 1, 2019

April 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

April 2019 Anthem Provider Newsletter - Virginia Guideline Updates Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

April 2019 Anthem Provider Newsletter - Virginia Guideline Updates Apr 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines

April 2019 Anthem Provider Newsletter - Virginia Guideline Updates Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

April 2019 Anthem Provider Newsletter - Virginia Guideline Updates Apr 1, 2019

Clinical practice and preventive health guidelines available on the Web

April 2019 Anthem Provider Newsletter - Virginia Guideline Updates Apr 1, 2019

Clinical practice and preventive health guidelines available on the Web

March 2019 Anthem Provider Newsletter - Virginia Guideline Updates Mar 1, 2019

Clinical practice and preventive health guidelines available on the Web

February 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Feb 1, 2019

Coverage guidelines effective April 1, 2019

January 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Jan 1, 2019

Clinical practice and preventive health guidelines available on the Web

January 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Jan 1, 2019

Coverage guidelines effective March 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

Clinical practice and preventive health guidelines available on the Web

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

New precertification requirement for EGD services begins January 1, 2019

October 2018 Anthem Provider Newsletter - Virginia Guideline Updates Oct 1, 2018

Prior authorization for genetic testing

October 2018 Anthem Provider Newsletter - Virginia Guideline Updates Oct 1, 2018

Coverage Guidelines effective January 1, 2019

October 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Oct 1, 2018

Coverage guideline informational notice

October 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Oct 1, 2018

Coverage guidelines effective November 1, 2018

August 2018 Anthem Provider Newsletter -- Virginia Coverage and Clinical Guidelines Aug 17, 2018

Coverage guidelines informational notice

August 2018 Anthem Provider Newsletter -- Virginia Coverage and Clinical Guidelines Aug 17, 2018
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