The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
Race and ethnicity data to be published in provider directories
Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care):
The State Fiscal Year 2021 quarter 3 rate updates have been implemented for free-standing nursing facilities for standard bed day services. Impacted provider types (PTs) are 19 (Nursing Facility) and 65 (Hospice, Long Term Care). The updated rates are effective on claims with dates of service on or after January 1, 2021. The rates were updated in the Medicaid Management Information System (MMIS) on January 19, 2021. No claims will be reprocessed as no claims were found in MMIS that were paid the previous rates on or after January 1, 2021, through January 19, 2021.
Provider coding education webinars and on-demand trainings now available
Enjoy informative webinars designed specifically for network providers, coders, billers and office staff. A variety of helpful and educational topics relating to coding and documentation, claims and billing issues, member care, quality measures, and more are available.
AIM Clinical Appropriateness Guidelines for Advanced Imaging Updates
Updates to the AIM Clinical Appropriateness Guidelines for Advanced Imaging for claims with dates of service on and after March 14, 2021.
Anthem Blue Cross and Blue Shield Healthcare Solutions Provider Spotlight
H.O.P.E. Counseling Services