CommercialNovember 1, 2021

November 2021 Anthem Provider News - Wisconsin

Administrative

AdministrativeCommercialNovember 1, 2021

CME credits available in 2021 for a variety of clinical quality webinars - register now!

AdministrativeCommercialNovember 1, 2021

Join Anthem in talking about racism and its impact on health, and earn continuing education credits!

AdministrativeCommercialNovember 1, 2021

Updated provider manual

AdministrativeCommercialNovember 1, 2021

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

AdministrativeCommercialNovember 1, 2021

Change in coverage for continuous glucose monitors for some fully insured groups

AdministrativeCommercialNovember 1, 2021

Time to prepare for HEDIS medical record review

AdministrativeCommercialNovember 1, 2021

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

AdministrativeCommercialNovember 1, 2021

Be Antibiotics Aware: Protect your patient

AdministrativeCommercialNovember 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

Digital SolutionsCommercialNovember 1, 2021

Against medical advice (AMA) discharge physician tracking tool

Digital SolutionsCommercialNovember 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers
EnrollSafe replaces CAQH Enrollhub effective November 1, 2021

Policy Updates

Reimbursement PoliciesCommercialNovember 1, 2021

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

Products & Programs

Products & ProgramsCommercialNovember 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

PharmacyCommercialNovember 1, 2021

Specialty pharmacy updates are available - November 2021*
*Material Adverse Change (MAC)

PharmacyCommercialNovember 1, 2021

Important update on Botox for Anthem members

State & Federal

State & FederalBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2021

Keep up with Medicaid News - November 2021
View these Medicaid articles:
- Prior authorization updates for specialty pharmacy

State & FederalBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2021

Electronic data interchange process

State & FederalBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes

State & FederalBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2021

Clinical criteria updates

State & FederalBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2021

Unspecified diagnosis reminder

State & FederalBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2021

Reimbursement policy update: Corrected claims

State & FederalBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2021

4 things you can do to encourage cancer screenings for your female patients

State & FederalMedicare AdvantageNovember 1, 2021

Keep up with Medicare News - November 2021
View these Medicare articles:
- Anthem expands specialty pharmacy prior authorization list

State & FederalMedicare AdvantageNovember 1, 2021

Anthem offering Advance Medical Directives program for 2022

State & FederalMedicare AdvantageNovember 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

State & FederalMedicare AdvantageNovember 1, 2021

New York City Medicare Advantage announcement

State & FederalMedicare AdvantageNovember 1, 2021

Clinical criteria updates

State & FederalMedicare AdvantageNovember 1, 2021

Electronic data interchange process