Tagged with Anthem

Anthem Adopts MCG Care Guidelines

Anthem’s behavioral health medical policies and clinical guidelines currently in place for reviewing of behavioral health services, will be replaced by the MCG Care Guidelines 22nd edition Behavioral Health guidelines.

Anthem BCBS AIM Radiation, Oncology Clinical Guidelines Updates

Anthem Blue Cross Blue Shield (BCBS) published a notice stating that effective with dates of service on and after July 1st a separate company, AIM Specialty Health (AIM), will apply AIM’s Radiation Oncology Clinical Appropriateness Guidelines to precertification requests for certain services.

New Hampshire – Anthem BCBS Reimbursement Policy Update

Anthem Blue Cross Blue Shield of New Hampshire (BCBSNH) has released updates to its current reimbursement policy for E&M services and related modifiers 25 and 57 professional reimbursement, facility claims requiring additional documentation policy, as well as its pharmaceutical waste facility reimbursement policy.

Indiana Medicaid Medical Policy Updates

Anthem BCBS of Indiana has issued notice of medical policy revisions approved by the Medical Policy and Technology Assessment Committee (MPTAC).

New Hampshire Anthem BSBS New Musculoskeletal Program

Effective March 1, 2018, AIM Specialty Health (AIM) will perform medical necessity review of certain elective surgeries of the spine and joints, as well as interventional pain treatment for fully insured Anthem BSBS NH members.