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Network Update

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Network Update is an Anthem Blue Cross and Blue Shield newsletter sent to our Colorado network providers each month. Start receiving Network Update and all Anthem network communications via email, click Anthem Network eUpdate Registration Form to sign up TODAY!

May 2013  
Spring Provider Seminars happening now – don’t miss out, register today!
Improving the Provider Experience: three new online forms coming in May
Effective August 1, 2013, New Requirement for Credentialing of Physical Therapists, Occupational Therapists and Speech Therapists
Register today for Availity
Update to Claims Processing Edits and Professional Reimbursement Policies
ICD-10 Tip: you don’t have to learn the entire code set
We believe in continuous improvement
Clinical Practice and Preventive Health Guidelines available on the web
Coordination of Care
Pharmacy information available on anthem.com
ConditionCare Program benefits patients and physicians
Medicare Advantage: global surgical modifiers
Medicare Advantage Updates

Notice of Medicare non-coverage requirements

There’s no place like home – especially after knee or hip replacement

Anthem took action to spread the word about increased flu activity

Annual Medical Chart Review Program for Medicare Advantage members under way

2013 House Call Program for Medicare Advantage members launches

Health Care Reform Updates and notifications
 
April 2013  
Drug fee schedule update
Spring Provider Seminars coming soon!
Update to Claims Processing Edits and Professional Reimbursement Policies
Medicare Advantage: Corrected Claims Guidelines
Medicare Advantage Updates

Preventive health calls include information on preventing falls, urinary incontinence

Pilot enables physicians to deliver preventive health reminders results

Anthem supports the Million Hearts campaign through the Chronic Care Improvement Program

Making progress to improve patient safety: avoiding second fills on high-risk medications

Health Care Reform Updates and notifications

Site launched to educate on Health Care Reform

New article available online: Breast Pumps Covered Under Preventive Care Benefits

 
March 2013  
CMS issues additional NPI requirements for certain providers – effective May 6, 2013
New Member Liability Waiver form available online
The ICD-10 Updates Webpage: A Resource for Key Information
Shingles Immunizations Covered at Retail Pharmacies January 1, 2013
Update to Claims Processing Edits and Professional Reimbursement Policies
Blue Cross and Blue Shield Association Drives National Consumer Cost Tool Expansion
Expanded Transparency through Castlight Health
Clinical Practice and Preventive Health Guidelines available on the web!
Pharmacy information available on anthem.com
Medicare Advantage Updates

Annual surveys ask your patients to rate their quality of care and their Medicare Advantage health plan

Medicare Advantage precertification requirements updated for 2013

Medicare Advantage members receive personalized checklist for preventive services

Update to CMS guidance related to improving Drug Utilization Review controls for opioids

Send Your Attachments Electronically
Health Care Reform Updates and notifications

A Closer Look at Health Insurance Exchanges

 
February 2013  
Take advantage of this new enhancement added to Availity®
Prescription – generic pipeline quarterly update
Improving your patients’ health care experience
Survey says… Patients see room for improvement with physician care
Update to claims processing edits and Reimbursement Policies
Clinical Practice and Preventive Health Guidelines available on the web!
Anthem drug list updates
Medicare Advantage Updates:

Annual surveys ask your patients to rate their quality of care and their Medicare Advantage health plan

Prior authorization updates for Medicare Advantage plans

CPT II codes can help reduce administrative burden

CMS issues guidance to improve drug utilization review controls for opioids

MyHealth Notes encourage members to discuss health care with their doctors

Tell us what you want to read about Medicare Advantage

Electronic Data Interchange (EDI) best practices
Health Care Reform updates and notifications
 
January 2013  
Drug fee schedule update
AIM clinical appropriateness imaging guidelines updates
Blue Priority Products effective November 1, 2012
Successful ICD-10 Test Strategies to Help Providers Gain Insight into ICD-10 Reimbursement Impacts
HEDIS® — Are You Ready?
Fall Provider Seminars – access recorded version online!
Update to Claims Processing Edits and Professional Reimbursement Policies
Medicare Advantage Updates

Please Encourage Medicare Advantage Members to Complete Health Assessment

Members Share House Call Program Success Stories

Anthem encourages Medicare Advantage members to stay up-to-date on preventive care

CMS monitors Drug-Drug Interactions for patient safety: Anthem supports provider notification

MD On-Line offers premier electronic transaction solution – take advantage of this offer today!
Health Care Reform Updates and notifications
 
Network Updates – 2012  
Network Updates – 2011  
Network Updates – 2010  
Network Updates – 2009  
Network Updates – 2008  
Network Updates – 2007  
Network Updates – 2006  
Network Updates – 2005  
Network Updates – 2004  
 
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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