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Anthem Medicare Advantage Plan & Administrative Changes/Updates

PW_AD092883

Posting Date 
Subject 
Document 
08/26/2014 
System Migration Overview 
 
08/21/2014 
Reimbursement Policy Changes and Code Editing Enhancements (IN, KY, MO, OH, WI, VA) 
 
08/21/2014 
Reimbursement Policy Changes and Code Editing Enhancements (CT, ME, NH) 
 
07/24/2014 
Natural Disaster Updates (Dec 2012 – Aug 2013) 
 
07/24/2014 
Billing Clarification for Bevacizumab 
 
07/01/2014 
Chemo Assays Test Billing 
 
06/25/2014 
Cancer Care Quality Program Requires Certain Rx Precertifications (OH, KY, IN, MO, WI only) 
 
06/20/2014 
HIPPS Codes Required for All Skilled Nursing and Home Health Providers 
 
06/03/2014 
Routine Physicals Covered in 2014 
 
05/07/2014 
Precertification of Cardiac Catheterizations 
 
05/02/2014 
VA Sleep Study Management 
 
05/02/2014 
Medicare Advantage Interactive Telephone Guide for Providers 
 
04/25/2014 
Helping Our Members Schedule Office Visits/Preventive Screenings 
 
04/24/2014 
July 2014 Changes to Precertification 
 
03/28/2014 
Non-Contracting Providers may NOT Balance Bill or Bill the Member Directly 
 
03/28/2014 
Negative Formulary Update 
 
03/28/2014 
Negative Formulary Update (BCBS of KS, BCBS of KCKS, and BCBS of KCMO) 
 
03/20/2014 
CPAP / BiPAP Devices and Related Supplies 
 
03/14/2014 
2014 House Call Program 
 
03/12/2014 
Illinois Storms/Tornadoes 
 
03/11/2014 
Private Rooms 
 
02/21/2014 
Update CMS 1500 Claim Form 
 
01/31/2014 
Ordering/Referring NPI Requirements 
 
01/31/2014 
Where to File Lab, DME. and Speciality Pharmacy Blue Claims (page 4)  
 
01/28/2014 
Encounter Data 
 
01/23/2014 
Anthem HealthKeepers 2014 MA DSNP Plan Overview 
 
12/31/2013 
Hospice Election Lookup Tool on CMS 
 
12/30/2013 
2014 DME Diabetic Supply Changes 
 
12/24/2013 
Medicare Advantage Changes in 2014 
 
12/13/2013 
URMBT Information for Missouri Providers 
 
11/21/2013 
Self-Administered Drugs 
 
11/11/2013 
Natural Disaster Information for AL, FL, LA, and PA 
 
11/01/2013 
Virginia 2014 Medicare Advantage Product Update 
 
11/01/2013 
Connecticut 2014 Medicare Advantage Product Update 
 
11/01/2013 
Maine 2014 Medicare Advantage Product Update 
 
11/01/2013 
New Hampshire 2014 Medicare Advantage Product Update 
 
11/01/2013 
Ohio 2014 Medicare Advantage Product Update 
 
11/01/2013 
Kentucky 2014 Medicare Advantage Product Update 
 
11/01/2013 
Indiana 2014 Medicare Advantage Product Update 
 
11/01/2013 
Missouri 2014 Medicare Advantage Product Update 
 
11/01/2013 
Wisconsin 2014 Medicare Advantage Product Update 
 
10/21/2013 
2013 Medicare Advantage Healthy Checklist 
 
10/18/2013 
Medicare Advantage Provider Site Guide 
 
10/09/2013 
Update: Avoidable Readmissions May Lead to Administrative Claim Denials 
 
10/09/2013 
2014 Medicare Advantage Individual Plan Change Email  
 
10/08/2013 
Natural disaster Information for AR, CO, and MO  
 
10/08/2013 
Acupuncture and Chiropractic Benefits Not Offered in 2014  
 
10/01/2013 
2014 Insulin Coverage Changes  
 
10/01/2013 
Natural Disaster Information for CA, FL, NH, and TX 
 
09/18/2013 
Natural Disaster Updates for IA, NY, ND, SD, VT, and WI 
 
09/17/2013 
2014 Diabetic Supply Coverage Changes 
 
08/19/2013 
Chemo Assays Test Billing 
 
08/14/2013 
Member Submitted Claims  
 
08/07/2013 
Coverage of Wigs  
 
08/07/2013 
Natural Disaster Information for CO, IA, ND, and VT  
 
08/02/2013 
Michigan Flooding Information  
 
07/30/2013 
October 2013 Change to Ambulance Fee Schedule  
 
07/15/2013 
2013 National Uniform Billing Committee UB-04 Code Changes 
 
07/15/2013 
Home Health TOB 33X 
 
07/2/2013 
TX/OK Tornado Update 
 
06/28/2013 
Outpatient Therapy Functional Reporting Non-Compliance Alerts 
 
06/26/2013 
Sequestration and Medicare Advantage 
 
06/25/2013 
New Telephonic Options for Providers 
 
06/25/2013 
Social Work and Psych Codes in CORFs 
 
06/12/2013 
Medicare Advantage Interactive Telephone Guide for Providers 
 
06/12/2013 
Frequently Used CPT Codes 
 
05/14/2013 
Administrative Fee Charges 
 
04/18/2013 
Home Infusion Clarification  
 
04/08/2013 
CPT 36415 Adjustments 
 
04/05/2013 
Precertifications, Observation and Timely Notification Reminders for Medicare Advantage Members 
 
04/02/2013 
Surgical Modifiers  
 
03/29/2013 
Corrected Claims Guidelines  
 
03/13/2013 
Place of Service Billing 
 
03/11/2013 
Sequestration and Medicare Advantage 
 
03/04/2013 
Notice of Medicare Non Coverage to a Skilled Nursing Facility 
 
03/01/2013 
Important Reminder Regarding CPT 80101 
 
02/25/2013 
Ordering/Referring NPI Requirements 
 
02/20/2013 
2013 Psychiatry Codes 
 
02/01/2013 
Hurricane Sandy Claims Update  
 
02/01/2013 
Medicare Advantage eUpdates  
 
02/01/2013 
RX Monitoring 
 

Affordable Care Act

Archived Updates

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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use