Virginia
Provider Communications

Articles Category: State & Federal / Medicare

Title Publication Category Date

Reimbursement policy update: DRG inpatient facility transfers effective November 30, 2021

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Prior authorization/precertification form notification

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Keep up with Medicare news - September 2021

View this Medicare article:
  • Clinical Criteria updates notification
September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy

August 2021 Anthem Provider News - Virginia Medicare Aug 1, 2021

Keep up with Medicare news

August 2021 Anthem Provider News - Virginia Medicare Aug 1, 2021

Reimbursement policy: Modifier 90; Reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

 

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Prior authorization requirement changes for codes A0426 and A0428 effective October 1, 2021

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Medical drug benefit Clinical Criteria updates

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Keep up with Medicare news

July 2021 Anthem Provider News - Virginia Medicare Jul 1, 2021

Reimbursement policy: Reminder about inpatient readmissions

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Keep up with Medicare news

June 2021 Anthem Provider News - Virginia Medicare Jun 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News - Virginia Medicare May 1, 2021

Keep up with Medicare news

May 2021 Anthem Provider News - Virginia Medicare May 1, 2021

Medical drug benefit Clinical Criteria updates effective March 26, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Medical drug benefit Clinical Criteria updates effective April 8, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Notify us of telehealth services

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Provider News - Virginia Medicare Apr 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

DME checklist of information needed from providers

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

Coverage Guidelines and Clinical Utilization Management Guidelines update

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Anthem Provider News - Virginia Medicare Mar 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Provider News - Virginia Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Anthem Provider News - Virginia Medicare Feb 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Anthem Provider News - Virginia Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Provider News - Virginia Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Anthem Provider News - Virginia Medicare Jan 1, 2021

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Virginia Medicare Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Provider News - Virginia Medicare Dec 1, 2020

Medicare Advantage Group Retiree member eligibility, alpha prefix FAQ

December 2020 Anthem Provider News - Virginia Medicare Dec 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

December 2020 Anthem Provider News - Virginia Medicare Dec 1, 2020

Keep up with Medicare news

December 2020 Anthem Provider News - Virginia Medicare Dec 1, 2020

Preferred continuous glucose monitors

November 2020 Anthem Provider News - Virginia Medicare Nov 1, 2020

Provider Chat: A fast, easy way to get your questions answered

November 2020 Anthem Provider News - Virginia Medicare Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Anthem Provider News - Virginia Medicare Nov 1, 2020

FDA approvals and expedited pathways used: New molecular entities

November 2020 Anthem Provider News - Virginia Medicare Nov 1, 2020

Keep up with Medicare news

November 2020 Anthem Provider News - Virginia Medicare Nov 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Prior authorization requirements for the below codes (Effective December 1, 2020)

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Prior authorization requirements for the below codes (Effective January 1, 2021)

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Provider News - Virginia Medicare Sep 1, 2020

UPDATE: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Provider News - Virginia Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Anthem Provider News - Virginia Medicare Sep 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Provider News - Virginia Medicare Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Provider News - Virginia Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Provider News - Virginia Medicare Aug 1, 2020

AIM Musculoskeletal program expansion

August 2020 Anthem Provider News - Virginia Medicare Aug 1, 2020

Keep up with Medicare news

August 2020 Anthem Provider News - Virginia Medicare Aug 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

In-Office Assessment Program

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Henry County and Henry County Public Schools offer Medicare Advantage option

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Anthem Provider News - Virginia Medicare Jul 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Anthem working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

2020 Medicare risk adjustment provider training

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Anthem Provider News - Virginia Medicare Jun 1, 2020

Reimbursement Policy: Unlisted, unspecified or miscellaneous codes

May 2020 Anthem Provider News - Virginia Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News - Virginia Medicare May 1, 2020

Keep up with Medicare news

May 2020 Anthem Provider News - Virginia Medicare May 1, 2020

2020 Medicare risk adjustment provider training

April 2020 Anthem Provider News - Virginia Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates

April 2020 Anthem Provider News - Virginia Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates

April 2020 Anthem Provider News - Virginia Medicare Apr 1, 2020

Keep up with Medicare News

April 2020 Anthem Provider News - Virginia Medicare Apr 1, 2020

Outpatient Rehabilitation Program transition: New prior authorization requirements

March 2020 Anthem Provider News - Virginia Medicare Mar 1, 2020

Personal home helper benefit

March 2020 Anthem Provider News - Virginia Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Virginia Medicare Mar 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Anthem Provider News - Virginia Medicare Mar 1, 2020

Keep up with Medicare news

March 2020 Anthem Provider News - Virginia Medicare Mar 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

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

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
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