Wisconsin
Provider Communications

Articles Recent

Title Publication Category Date

Update to facility editing: HCPCS code G0463

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

Coding tips for reporting administration of Spravato®

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

More potato chips, sugary drinks and less physical activity are key contributors to childhood obesity

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

Coming soon: The Anthem Provider Learning Hub makes Availity learning easier

July 2022 Anthem Provider News - Wisconsin Digital Tools Jul 1, 2022

Enhancing claims attachment processes through the digital application Claims Status Inquiry

July 2022 Anthem Provider News - Wisconsin Digital Tools Jul 1, 2022

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

July 2022 Anthem Provider News - Wisconsin Products & Programs Jul 1, 2022

Pharmacy information available at anthem.com

July 2022 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2022

New reimbursement policy: Transitional Care Management - professional

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

Keep up with Medicare News - July 2022

- New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

New reimbursement policy: Modifier FB - Professional and Facility*

*Material Adverse Change (MAC)
July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules - Professional*

*Material Adverse Change (MAC)
July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Laboratory and venipuncture services - professional and facility*

*Material Adverse Change (MAC)
July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

New reimbursement policy: Place of Service - Facility*

*Material Adverse Change (MAC)
July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections - Professional

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

Reimbursement policy update: Distinct Procedural Service, Modifiers 59, XE, XP, XS, XU - professional*

*Material Adverse Change (MAC)
July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

Keep up with Medicaid News - July 2022

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

Prior authorization requirement changes effective August 1, 2022

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

New Strategic Provider System will launch in August 2022

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

New Strategic Provider System will launch in August 2022

July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 16, 2022

Exploring the Intersection of Race and Disability

Register today for the Exploring the Intersection of Race and Disability forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Wisconsin Administrative Jun 8, 2022

Keep up with Medicaid News - June 2022

- Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines
- Prior authorization update for select durable medical equipment (DME) items
- Prior authorization updates for medications billed under the medical benefit
- Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines
June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

New Strategic Provider System will launch in August 2022

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

June 2022 Anthem Provider News - Wisconsin Medicaid Jun 1, 2022

Evaluation and management services for COVID testing - Professional*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Forum: Exploring the Intersection of Race and Disability

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Direct behavioral health fee schedule updates effective July 1, 2022

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Updates to AIM musculoskeletal program: Monitored anesthesia care reviews*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Products & Programs Jun 1, 2022

Specialty pharmacy updates - June 2022*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Pharmacy Jun 1, 2022

Medical policy and clinical guideline updates - June 2022*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2022

Updated guidance on prior authorization requirements for admissions to in-network long-term acute care hospitals (LTACHs)*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM musculoskeletal clinical appropriateness guidelines*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM advanced imaging clinical appropriateness guidelines*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM sleep disorder management clinical appropriateness guidelines*

*Material Adverse Change (MAC)

June 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

*Material Adverse Change (MAC)
June 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jun 1, 2022

Process change for Federal Employee Program third-party correspondence requests

June 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Jun 1, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Keep up with Medicare News - June 2022

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Medical policies and clinical utilization management guidelines update

June 2022 Anthem Provider News - Wisconsin Medicare Jun 1, 2022

Provider outreach to validate your provider data

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Update use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Updates to edits associated with implants

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Provider News - Wisconsin Administrative Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Wisconsin Behavioral Health Jun 1, 2022

Keep up with Medicaid News - May 2022

- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Prior authorization requirement change for HCPCS code K1022
- New specialty pharmacy medical step therapy requirements-March 2022
May 2022 Anthem Provider News - Wisconsin Medicaid May 1, 2022

Screening for alcohol use disorder in high-prevalence demographics

May 2022 Anthem Provider News - Wisconsin Medicaid May 1, 2022

Keep up with Medicare News - May 2022

- Anthem expands specialty pharmacy precertification list-March 2022 update
- Anthem expands specialty pharmacy precertification list-April 2022 update
- New specialty pharmacy medical step therapy requirements-May 2022 update
May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements-March 2022 update

May 2022 Anthem Provider News - Wisconsin Medicare May 1, 2022

Updated 2022 Provider Manual now available

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

Anthem announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

May is National High Blood Pressure Education Month: We’ve got this!

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Provider News - Wisconsin Administrative May 1, 2022

Specialty pharmacy updates - May 2022*

*Material Adverse Change (MAC)
May 2022 Anthem Provider News - Wisconsin Pharmacy May 1, 2022

MCG Care Guidelines 26th Edition*

*Material Adverse Change (MAC)
May 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program live webinar

May 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) May 1, 2022

Information from Anthem for Care Providers about COVID-19 (updated April 15, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Wisconsin Administrative Apr 15, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - Wisconsin Administrative Apr 5, 2022

Specialty pharmacy updates - April 2022*

*Material Adverse Change (MAC)
April 2022 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2022

Designated specialty pharmacy network updates*

*Material Adverse Change (MAC)
April 2022 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Keep up with Medicaid News - April 2022

- Medical policies and clinical utilization management guidelines update
- Phone number change for AIM in Wisconsin
- Medical drug benefit clinical criteria updates
- Specialty pharmacy site of care program retraction
- Prior authorization updates for medications billed under the medical benefit
April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Disease Management/Population Health program

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Clinical Criteria updates

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Wisconsin Medicaid Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

Reminder on Botox for Anthem members

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

CAA: Update your provider directory information

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

HEDIS 2022: Summary of changes from NCQA

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

Importance of behavioral healthcare after-hours messaging

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

Catching up on routine vaccines

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

Evaluation and management documentation guidelines

April 2022 Anthem Provider News - Wisconsin Administrative Apr 1, 2022

Procedure searches in Find Care

April 2022 Anthem Provider News - Wisconsin Digital Tools Apr 1, 2022

Member benefit lookup by procedure code

April 2022 Anthem Provider News - Wisconsin Digital Tools Apr 1, 2022

Pharmacy information available at anthem.com

April 2022 Anthem Provider News - Wisconsin Pharmacy Apr 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Keep up with Medicare News - April 2022

- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list
April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

Reimbursement policy update: Inpatient readmissions

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Provider News - Wisconsin Medicare Apr 1, 2022
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