Wisconsin
Provider Communications

December 2019 Anthem Provider News - Wisconsin

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Title Category

Verifying and updating your provider information

Administrative

Anthem works to simplify payment recovery process for National Accounts membership

Administrative

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity portal

Administrative

Case management program

Administrative

Coordination of care

Administrative

Important information about utilization management

Administrative

Members’ rights and responsibilities

Administrative

Clinical practice and preventive health guidelines available

Administrative

Reminder: New AIM Rehabilitative Program effective November 1, 2019

Products & Programs

Coding tip for psychological and neuropsychological testing

Behavioral Health

Pharmacy information available at anthem.com

Pharmacy

New Reimbursement Policies: Durable Medical Equipment, Rent to Purchase Durable Medical Equipment, and Modifiers (Professional)

Reimbursement Policies

System updates for 2020 (Professional)

Reimbursement Policies

Coordination of benefits for an FEP® member

Federal Employee Plan (FEP)

Medicare News -- December 2019

Medicare

Provider training series

Medicare

Medical drug Clinical Criteria updates

Medicare

Reminder to Medicare Advantage providers

Medicare

Medical drug Clinical Criteria updates

Medicaid

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

Medicaid

Reimbursement Policy Update: Multiple and Bilateral Surgery, Professional and Facility Reimbursement

Medicaid

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

Medicaid
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