Anthem Provider Newsletter – Missouri November 2023
This month’s featured articles:
Digital Tools
Education and Training
Administrative
- Updates to correct coding editing
- 2024 Medicare Advantage service area and benefit updates
- Usage of liability modifiers
- CAA: Maintain your online provider directory information
- Filing digital claims disputes: Transparent and trackable
- Improvements to secure messaging through Availity Essentials
Policy Updates
- Carelon Medical Benefits Management, Inc. updates — November 2023
- Medical Policies and Clinical Guidelines updates — November 2023
- Expansion of Carelon Medical Benefits Management, Inc. programs
- Prior authorization requirement changes effective February 1, 2024 – codes 32274 and 32275
- Expansion of Carelon Medical Benefits Management, Inc. programs, effective April 1, 2024
- Prior authorization requirement changes effective February 1, 2024 – code J1411
Reimbursement Policies
Federal Employee Program
- FEP®Specialty Pharmacy prior authorization list
- Federal Employee Program specialty pharmacy prior authorization review
Pharmacy
Quality Management | Commercial / Medicare Advantage
- HEDIS measurement year 2023 documentation for Childhood Immunization Status (CIS)
- Controlling high blood pressure and HEDIS®
- Be Antibiotics Aware: Protect your patients
- HEDIS medical record submission made easier with our Remote EMR Access Service
- HEDIS measurement year 2023 documentation for Transitions of Care (TRC)
- Statin therapy end of year best practices