Wisconsin
Provider Communications

July 2022 Anthem Provider News - Wisconsin

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Title Category

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

Administrative

Update to facility editing: HCPCS code G0463

Administrative

Coding tips for reporting administration of Spravato®

Administrative

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

Administrative

CAA: Keep your provider directory information current

Administrative

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

Administrative

Clearing up coding confusion for diabetic retinal screenings

Administrative

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

Digital Tools

Enhancing claims attachment processes through the digital application Claims Status Inquiry

Digital Tools

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

Products & Programs

Pharmacy information available at anthem.com

Pharmacy

New reimbursement policy: Transitional Care Management - professional

Reimbursement Policies

New reimbursement policy: Modifier FB - Professional and Facility*

*Material Adverse Change (MAC)
Reimbursement Policies

Reimbursement policy update: Modifier Rules - Professional*

*Material Adverse Change (MAC)
Reimbursement Policies

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

*Material Adverse Change (MAC)
Reimbursement Policies

New reimbursement policy: Place of Service - Facility*

*Material Adverse Change (MAC)
Reimbursement Policies

Retraction for reimbursement policy: Sexually Transmitted Infections - Professional

Reimbursement Policies

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

*Material Adverse Change (MAC)
Reimbursement Policies

Keep up with Medicaid News - July 2022

Medicaid

Prior authorization requirement changes effective August 1, 2022

Medicaid

MCG care guidelines 26th edition

Medicaid

New Strategic Provider System will launch in August 2022

Medicaid

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

Medicaid

Keep up with Medicare News - July 2022

- New specialty pharmacy medical step therapy requirements
Medicare

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

Medicare

Cancer Care Navigator

Medicare

New Strategic Provider System will launch in August 2022

Medicare

MCG care guidelines 26th edition

Medicare
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