Georgia
Provider Communications

November 2021 Anthem Provider News - Georgia

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Title Category

Against medical advice (AMA) discharge physician tracking tool

Digital Tools

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

Medicare Advantage
Medicare

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

Be Antibiotics Aware: Protect your patient

Administrative

Blue High Performance Network name changing for 2022

Products & Programs

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

Administrative

Claims editing update for ICD-10-CM Excludes 1 notes

Administrative

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

Reimbursement Policies

Clinical Criteria updates

Medicare Advantage
Medicare

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

Administrative

Electronic data interchange process

Medicare Advantage
Medicare

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
Digital Tools

Important update on Botox® for Anthem members

Pharmacy

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

Administrative

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

Administrative

Keep up with Medicare news

Medicare Advantage
Medicare

New York City Medicare Advantage announcement

Medicare Advantage
Medicare

November 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
Pharmacy

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

Administrative

Surprisingly easy ways to help patients quit smoking cigarettes

Administrative

Time to prepare for HEDIS® medical record review

Administrative

Update regarding annual wellness visits for ACA-compliant health plans

Products & Programs

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medicare Advantage
Medicare
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