Anthem Provider Newsletter – Missouri December 2022
This month’s featured articles:
Administrative:
- CAA: Timely updates help keep our provider directories current
- Attention lab providers: COVID-19 update regarding reimbursement
- Clinical practice and preventive health guidelines available on anthem.com
- Member assessment of PCP after-hours messaging in 2022
- Important information about utilization management
- Members’ rights and responsibilities
- Member’s assessment of behavioral healthcare after-hours messaging in 2022
- Coordination of care
- Case management program
- IngenioRx will become CarelonRx on January 1, 2023
Policy Updates:
- Reminder – updated AIM Musculoskeletal program effective January 1, 2023 – site of care reviews
Pharmacy:
- Pharmacy information available on the provider website
- Specialty pharmacy updates – December 2022
Medical Policy & Clinical Guidelines:
- AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
- AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update
- Medical Policies and Clinical Guidelines updates – December 2022
- Reimbursement policy update: Multiple Surgery – Facility
- Reimbursement policy update: Bundled Services and Supplies – Professional
- Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services – Facility
Medicare:
- Keep up with Medicare News – December 2022
- 2023 Medicare Advantage service area and benefit updates
- Personal home helper benefit ending