Virginia
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Resources to support your diverse patient panel

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

Taxonomy codes

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

Reimbursement policy update: Split-Care Surgical Modifiers

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

Postponed: Review of professional claims with emergency room level 5 E/M codes

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

Services requiring prior authorization

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

Keep up with Medicaid news

February 2020 Anthem Provider News - Virginia Medicaid Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News - Virginia Medicare Feb 1, 2020

Reimbursement policy: Modifier 62 Co-Surgeons

February 2020 Anthem Provider News - Virginia Medicare Feb 1, 2020

Keep up with Medicare news

February 2020 Anthem Provider News - Virginia Medicare Feb 1, 2020

2020 FEP® benefit information available online

January 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Coding spotlight: Provider’s guide to coding respiratory diseases

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Inmate Services Program

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Verifying and updating your provider information

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Keep up with Medicaid news

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Introducing a new Medicare Advantage special needs plan for 2020

January 2020 Anthem Provider News - Virginia Medicare Jan 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Virginia Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Virginia Medicare Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Virginia Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection: Best practices

January 2020 Anthem Provider News - Virginia Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Virginia Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Virginia Medicare Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Virginia Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Virginia Medicare Jan 1, 2020

Keep up with Medicare news

January 2020 Anthem Provider News - Virginia Medicare Jan 1, 2020

Coordination of benefits for members enrolled in the Federal Employee Program®

December 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Dec 1, 2019

Coding spotlight: Provider’s guide to coding behavioral and emotional disorders

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

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicaid news

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

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

Direct contracting for nurse practitioners and physician assistants in 2019

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

Medical drug Clinical Criteria updates

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

Electronic submission is preferred method for requesting pharmacy prior authorization

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

Suicide prevention and intervention: What you need to know

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

Keep up with Medicaid news

November 2019 Anthem Provider News - Virginia Medicaid Nov 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

Federal Employee Program® specialty pharmacy clinical site-of-care prior authorization review

October 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Oct 1, 2019

Precertification request turnaround times for the Federal Employee Program

October 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Oct 1, 2019

Reimbursement policy update: Early and Periodic Screening, Diagnostic and Treatment (EPSDT)

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

Prior authorization requirements changes effective November 1, 2019

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

Medical Policies and Clinical Utilization Management Guidelines update

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

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

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

New clinical guideline: Pneumatic compression devices, effective December 1, 2019

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

Provider orientations

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

Keep up with Medicaid news

October 2019 Anthem Provider News - Virginia Medicaid Oct 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

Prior authorization changes

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

Evaluation and management services: Over-coded services

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

Wound care requests

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

MCG Care Guidelines update and customizations

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

Medical drug Clinical Criteria updates for first quarter

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

Medical drug Clinical Criteria updates for second quarter

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

Medical necessity review for appropriate level of care

September 2019 Anthem Provider News - Virginia Medicaid Sep 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

AIM Specialty Health programs may require documentation

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

Coming soon: Electronic attachments

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

Provider claims payment disputes

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

Anthem HealthKeepers Plus pharmacy management information

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

Use the Provider Maintenance Form to update your information

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

Provider satisfaction survey information

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

Keep up with Medicaid news

August 2019 Anthem Provider News - Virginia Medicaid Aug 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

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific specialty drugs and site of care

July 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jul 1, 2019

Sepsis diagnosis coding and billing reminder

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

Unspecified diagnosis code update

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

Coding Spotlight: Hypertension

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

New service types added to Availity

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

Update to rules governing reimbursement for LMHPs for servicing only Anthem HealthKeepers Plus members

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

Electronic claim payment reconsideration

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

Keep up with Medicaid news

July 2019 Anthem Provider News - Virginia Medicaid Jul 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
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