Wisconsin
Provider Communications

March 2020 Anthem Provider News - Wisconsin

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Title Category

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - March 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

Provider News site enhancements

Administrative

Anthem Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2020

Administrative

Patient360 enhancement for medical providers

Administrative

Modifier use reminders

Administrative

Important coding reminder for walk-in retail health clinics

Administrative

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020*

Products & Programs

National Drug Code requirement on outpatient claims*

Pharmacy

Pharmacy information available at anthem.com

Pharmacy

Medicare News - March 2020

Medicare

Outpatient Rehabilitation Program transition: new prior authorization requirements

Medicare

Complex discharge planning

Medicare

Personal Home Helper benefit

Medicare

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

Medicare

Non-preferred products and corresponding preferred alternatives

Medicare

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

Medicaid

Coding tip for psychological and neuropsychological testing

Medicaid

Antibiotic dispensing guidelines

Medicaid

Coding spotlight: HIV and AIDS

Medicaid
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