Anthem Home Health

A synopsis of the criteria is available to Providers and Members on request and free of charge by calling myNEXUS at 844-411-9622 or by emailing [email protected] Please contact the myNEXUS Provider Network Team with any questions at [email protected] Phone: 1-844-411-9622. Fax: …

Actived: 7 days ago


Social Determinants of Health: Education Access and Quality

11 . 2021. It is commonly known that good habits like eating well, maintaining a good weight, not smoking, and getting regular checkups can lead to better health. What is not as widely known is that access to quality education has been correlated to better health outcomes and possibly a longer life. In fact, individuals who graduate college

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Anthem, Inc. To Acquire myNEXUS, Home Health Benefits Manager

Anthem is a leading health benefits company dedicated to improving lives and communities, and making healthcare simpler. Through its affiliated companies, Anthem serves more than 107 million people, including approximately 43 million within its family of health plans. We aim to be the most innovative, valuable and inclusive partner.

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Provider Materials

An individual shall not be excluded from participation in, be denied the benefits of, or be subjected to discrimination on the grounds prohibited under Title VI of the Civil Rights Act of 1964, 42 USC § 2000d et seq. - PDF (race, color, national origin, sex, age, sexual orientation, gender identity, and disability), Title IX of the Education Amendments of 1972, 20 USC § 1681 et seq. - PDF

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Anthem CEO Breaks Down myNEXUS Acquisition, Touts At-Home …

By Andrew Donlan | July 26, 2021, Home Health Care News Anthem Inc. (NYSE: ANTM) continues to tout its positioning when it comes to home-based care. The Indianapolis-based insurer acquired myNEXUS — a convener that manages home-based care for payers — earlier this year. Anthem’s focus on how that acquisition improves its overall network since then …

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myNEXUS and Aspire

About Aspire Health Aspire Health is the nation’s leading community-based palliative care provider, currently operating in 25 states and 67 cities. Aspire specializes in providing an extra layer of in-home support to patients facing a serious illness. Aspire’s clinicians are experts in providing patients with relief from the symptoms, pain

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HOME HEALTH CARE AUTHORIZATION REQUEST FORM PLEASE FAX THIS FORM ALONG WITH REQUIRED INFORMATION TO: 866-996-0077 Questions? Call 833-585-6262. Date of Request: Standard Request: Retro Request: Urgent Request: Note: Expedited organization determinations (urgent requests), can only be requested by the Member, Member …

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Social determinants of health: access and care myNEXUS®

The term, “social determinants of health” refers to environmental and community barriers to quality care. In our SDOH series, we’re covering the areas that reflect those barriers most often, as outlined by the CDC. Read more about the social determinants of health in our library or bookmark our SDOH resources page to see how myNEXUS is

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Social determinants of health: How neighborhood and built …

Health plans, providers, and other members of the healthcare industry are well-positioned to help those we serve to manage the environmental factors that affect their health. For example, we can partner with and encourage patients to access national and community resources such as:

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myNEXUS Announcement 2020 HIPPS Code Required on …

CMS implemented PGDM guidelines which requests that all claims data submitted to CMS by a Health Plan will require this 2020 PDGM HIPPS code. As a result, all claims with a start of care date rendered on or after January 1, 2020 that are sent to myNEXUS without a valid 2020 PDGM HIPPS code will be denied back to the Provider.

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How Does Medicare Measure Home Health Quality

Medicare built the Home Health Compare (HHC) “star ratings” website on as a key tool to help consumers choose a home health care provider. There are two types of home health star ratings: Quality of Patient Care Star Ratings; Patient Survey Star Ratings; The quality of patient care (QoPC) star rating is based upon Medicare’s Outcome and Assessment …

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