CommercialSeptember 1, 2020
September 2020 Anthem Provider News - Wisconsin
Administrative
CommercialSeptember 1, 2020
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - September 2020Notice 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.
CommercialSeptember 1, 2020
New provider directory indicators for medication assisted treatment (MAT) providersCommercialSeptember 1, 2020
EDI Gateway migration deadline is September 15, 2020CommercialSeptember 1, 2020
Providers can now receive and respond to medical record requests for post-pay audit via Change Healthcare’s Assurance Attach Assist ModuleCommercialSeptember 1, 2020
Enhanced medical records submission process to support claims processingCommercialSeptember 1, 2020
Patient360 adds care gap alert feedback for medical providersCommercialSeptember 1, 2020
Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2020 Prospective Program continuesPolicy Updates
CommercialSeptember 1, 2020
Reimbursement policy update: Distinct Procedural Services- Modifiers 59, XE, XP, XS, XU (Professional)*CommercialSeptember 1, 2020
Reimbursement policy update: Frequency Editing (Professional)*Products & Programs
CommercialSeptember 1, 2020
Site of care medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020*CommercialSeptember 1, 2020
Meet your Cancer Care NavigatorAnthem’s new cancer support program helps improve outcomes while easing burdens for you and your patients.
CommercialSeptember 1, 2020
Predictive analytics guide proactive support to patients undergoing chemotherapy resulting in lowered admissionsCommercialSeptember 1, 2020
Anthem to update formulary lists for commercial health plan pharmacy benefitCommercialSeptember 1, 2020
Specialty pharmacy updates are available - September 2020*State & Federal
BadgerCare Plus and Medicaid SSI ProgramsSeptember 1, 2020
Medical drug benefit clinical criteria updatesBadgerCare Plus and Medicaid SSI ProgramsSeptember 1, 2020
Medical policies and clinical utilization management guidelines updateBadgerCare Plus and Medicaid SSI ProgramsSeptember 1, 2020
What Matters Most online training course: Improving patient experienceMedicare AdvantageSeptember 1, 2020
Update: Notice of changes to the AIM musculoskeletal programMedicare AdvantageSeptember 1, 2020
Medical drug benefit clinical criteria updatesTo view this publication online:
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