CommercialJanuary 1, 2021
January 2021 Anthem Provider News - Wisconsin
Administrative
CommercialJanuary 1, 2021
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - January 2021CommercialJanuary 1, 2021
Self-service, digital transactions are fast and easyCommercialJanuary 1, 2021
Availity attachment tools for Anthem and affiliate payers - Live webinarsCommercialJanuary 1, 2021
Procedure searches in Find Care: New sort optionCommercialJanuary 1, 2021
New features added to Interactive Care ReviewerCommercialJanuary 1, 2021
Professional system updates for 2021CommercialJanuary 1, 2021
Outpatient system updates for 2021 - FacilityCommercialJanuary 1, 2021
Evaluation and management changes 2021CommercialJanuary 1, 2021
It is almost CAHPS survey time!Policy Updates
CommercialJanuary 1, 2021
MCG Care Guidelines 24th Edition Customization*CommercialJanuary 1, 2021
Medical Policy and Clinical Guideline Updates - January 2021*CommercialJanuary 1, 2021
Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional*CommercialJanuary 1, 2021
Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional*CommercialJanuary 1, 2021
Reimbursement policy update: Modifier Rules - Professional*CommercialJanuary 1, 2021
Reimbursement policy update: Frequency editing - Professional*CommercialJanuary 1, 2021
Reimbursement policy update: Multiple diagnostic imaging procedures - Professional*Products & Programs
CommercialJanuary 1, 2021
2021 FEP® benefit information available onlineCommercialJanuary 1, 2021
Prior authorization updates for specialty pharmacy are available - January 2021*CommercialJanuary 1, 2021
IngenioRx introduces new pharmacy network in 2021State & Federal
Medicare AdvantageJanuary 1, 2021
Medical drug benefit clinical criteria updatesMedicare AdvantageJanuary 1, 2021
Updates to AIM Specialty Health Cardiac clinical appropriateness guidelinesMedicare AdvantageJanuary 1, 2021
Updates to AIM clinical appropriateness guidelines for Advanced ImagingMedicare AdvantageJanuary 1, 2021
2020 Medicare risk adjustment provider trainingsMedicare AdvantageJanuary 1, 2021
Keep up with Medicare news - January 2021- Medicare Advantage Group Retiree Quick Reference Guide and FAQ
- Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ
- SNF admission reporting requirements for D-SNP plans
- Policy Update: Nurse Practitioner and Physician Assistant Services – Professional
- Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology
- Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines
BadgerCare Plus and Medicaid SSI ProgramsJanuary 1, 2021
Coding spotlight: HEDIS MY 2021BadgerCare Plus and Medicaid SSI ProgramsJanuary 1, 2021
Disease Management/Population Health programBadgerCare Plus and Medicaid SSI ProgramsJanuary 1, 2021
Medical drug benefit clinical criteria updatesBadgerCare Plus and Medicaid SSI ProgramsJanuary 1, 2021
FDA approvals and expedited pathways used - new molecular entities (NMEs)BadgerCare Plus and Medicaid SSI ProgramsJanuary 1, 2021
Updates to AIM clinical appropriateness guidelines for Advanced ImagingBadgerCare Plus and Medicaid SSI ProgramsJanuary 1, 2021
Medicaid News - January 2021- August 2020 Medical Policies and Utilization Management Guidelines update
- Independent laboratory provider – Place of service 81
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirements for Moderate to Deep Anesthesia for Dental Surgery in the Facility Setting
- Policy Update: Nurse Practitioner and Physician Assistant Services
- Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology
- Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines
To view this publication online:
Or scan this QR code with your phone