CommercialNovember 1, 2020
November 2020 Anthem Provider News - Wisconsin
Administrative
CommercialNovember 1, 2020
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - November 2020CommercialNovember 1, 2020
Availity attachment tools for Anthem and affiliate payers - Live WebinarsCommercialNovember 1, 2020
Clinical Laboratory Improvement Amendments (CLIA) Number - Additional InformationCommercialNovember 1, 2020
Digital transactions cut administrative tasks in halfCommercialNovember 1, 2020
Get the full picture of your patient’s health through their smartphoneCommercialNovember 1, 2020
US Antibiotic Awareness WeekPolicy Updates
CommercialNovember 1, 2020
Medical policy and clinical guideline updates - November 2020*CommercialNovember 1, 2020
Correction to Prior Authorization Update for Commercial business*CommercialNovember 1, 2020
Reminder: Post-service reviews using AIMCommercialNovember 1, 2020
New reimbursement policy: Documentation standards for episodes of care (Professional)*CommercialNovember 1, 2020
Reimbursement policy update: Modifier rules (Professional)*CommercialNovember 1, 2020
Reimbursement policy update: Bundled services and supplies (Professional)*Products & Programs
CommercialNovember 1, 2020
IngenioRx Introduces new pharmacy network in 2021CommercialNovember 1, 2020
Prior authorization updates for specialty pharmacy are available - November 2020*State & Federal
BadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2020
Medicaid News - November 2020- Evaluation and management services correct coding
- New specialty pharmacy medical step therapy requirements
- Provider Chat: A fast, easy way to get your questions answered
- New specialty pharmacy medical step therapy requirements
- Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations
- Electronic visit verification notification
BadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2020
Digital transactions cut administrative tasks in halfBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2020
Medical drug benefit clinical criteria updatesBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2020
Prior authorization requirements for HCPCS code 55899BadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2020
Inhaled nitric oxide reviews for diagnosis-related group admissionsBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness GuidelinesBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2020
Provider transparency updateBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2020
Coding spotlight: Tips and best practices for complianceMedicare AdvantageNovember 1, 2020
Medicare News - November 2020- AIM rehabilitation prior authorizations suspended for Group Retiree Solutions members until December 31, 2020
- Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines
- AIM Musculoskeletal program expansion postponed
Medicare AdvantageNovember 1, 2020
Provider Chat: A fast, easy way to get your questions answeredMedicare AdvantageNovember 1, 2020
Digital transactions cut administrative tasks in halfMedicare AdvantageNovember 1, 2020
FDA approvals and expedited pathways used - new molecular entitiesTo view this publication online:
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