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Submitted URL: https://providernews.anthem.com/colorado/publications/november-2023-provider-newsletter-20
Effective URL: https://providernews.anthem.com/colorado/publications/november-2023-provider-newsletter-20-2232
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Submission: On April 18 via api from US — Scanned from DE
Effective URL: https://providernews.anthem.com/colorado/publications/november-2023-provider-newsletter-20-2232
Submission Tags: falconsandbox
Submission: On April 18 via api from US — Scanned from DE
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PROVIDER NEWSCOLORADO PROVIDER NEWS COLORADO PROVIDER NEWS COLORADO Provider Home Archive Select Market Subscribe to Email Search Submit Search FILTER BY DATE After Date - Before Date * Recent Updates CATEGORIES * Administrative * Digital Solutions * Behavioral Health * Education and Training * Webinars * Policy Updates * Medical Policy & Clinical Guidelines * Prior Authorization * Reimbursement Policies * Products & Programs * Dental * Federal Employee Program (FEP) * Pharmacy * Quality Management * Optimizing HEDIS & STARS * State & Federal -------------------------------------------------------------------------------- * Commercial * Medicare Advantage -------------------------------------------------------------------------------- * Material Adverse Changes -------------------------------------------------------------------------------- RECENT PUBLICATIONS 1. April 2024 Provider Newsletter 2. March 2024 Provider Newsletter 3. February 2024 Provider Newsletter 4. January 2024 Provider Newsletter 5. December 2023 Provider Newsletter 6. View All Publications » -------------------------------------------------------------------------------- * Provider Home * Archive * Subscribe to Email -------------------------------------------------------------------------------- Change MarketChange Market--------CaliforniaColoradoConnecticutGeorgiaIndianaKentuckyMaineMissouriNevadaNew HampshireNew YorkOhioPennsylvaniaVirginiaWisconsin Commercial / Medicare Advantage | Nov 1, 2023 NOVEMBER 2023 PROVIDER NEWSLETTER FEATURED ARTICLES Digital Solutions | Commercial | Oct 31, 2023 DIGITAL RFAI PROCESS IMPROVEMENTS Digital Solutions | Commercial / Medicare Advantage | Oct 31, 2023 REMINDER: START USING PDM CAPABILITY NOW AVAILABLE ON AVAILITY ESSENTIALS PRIOR TO RETIREMENT OF PREVIOUS INTAKE CHANNELS Education and Training | Commercial | Oct 31, 2023 PRACTITIONERS’ RIGHTS DURING CREDENTIALING PROCESS -------------------------------------------------------------------------------- ADMINISTRATIVE Administrative | Medicare Advantage | Nov 1, 2023 Updates to correct coding editing Administrative | Medicare Advantage | Oct 31, 2023 2024 Medicare Advantage service area and benefit updates Administrative | Medicare Advantage | Nov 1, 2023 Usage of liability modifiers Administrative | Commercial | Nov 1, 2023 CAA: Maintain your online provider directory information Digital Solutions | Commercial | Nov 1, 2023 Filing digital claims disputes: Transparent and trackable Digital Solutions | Commercial / Medicare Advantage | Oct 31, 2023 Changes to our data management system help streamline your demographic update process POLICY UPDATES Medical Policy & Clinical Guidelines | Medicare Advantage | Nov 1, 2023 Carelon Medical Benefits Management, Inc. updates — November 2023 Prior Authorization | Medicare Advantage | Oct 16, 2023 RETRACTION: Prior authorization requirement changes effective February 1, 2024 Codes 32274 and 32275 Prior Authorization | Medicare Advantage | Oct 3, 2023 Prior authorization requirement changes effective February 1, 2024 - code J1411 Prior Authorization | Medicare Advantage | Oct 19, 2023 Expansion of Carelon Medical Benefits Management, Inc. programs Reimbursement Policies | Commercial | Oct 31, 2023 Reimbursement policy update: Pharmaceutical Waste – Professional and Facility PRODUCTS & PROGRAMS Federal Employee Program (FEP) | Commercial | Oct 31, 2023 Material adverse change Prior authorization updates for specialty pharmacy Federal Employee Program (FEP) | Commercial | Oct 31, 2023 Material adverse change Federal Employee Program specialty pharmacy prior authorization review Pharmacy | Commercial | Oct 31, 2023 Material adverse change Prior authorization updates for specialty pharmacy Pharmacy | Commercial | Nov 1, 2023 Pharmacy information available on our provider website QUALITY MANAGEMENT Quality Management | Commercial / Medicare Advantage | Oct 25, 2023 HEDIS measurement year 2023 documentation for Childhood Immunization Status (CIS) Quality Management | Medicare Advantage | Nov 1, 2023 Controlling high blood pressure and HEDIS Quality Management | Commercial / Medicare Advantage | Sep 27, 2023 Be Antibiotics Aware: Protect your patients Quality Management | Commercial / Medicare Advantage | Oct 15, 2023 HEDIS medical record submission made easier with our Remote EMR Access Service Quality Management | Commercial / Medicare Advantage | Nov 1, 2023 HEDIS measurement year 2023 documentation for Transitions of Care (TRC) Quality Management | Medicare Advantage | Nov 1, 2023 Statin therapy end of year best practices -------------------------------------------------------------------------------- COBCBS-CRCM-041559-23 HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). TO VIEW THIS PUBLICATION ONLINE: Visit https://providernews.anthem.com/colorado/publications/november-2023-provider-newsletter-20-2232 Or scan this QR code with your phone