Anthem rescinds modifier 25 cuts
Last week, Anthem, one of the nation’s largest commercial health plans, notified the American Medical Association that it has decided to rescind a policy to reduce payments by 25 percent for evaluation and management codes appropriately reported with CPT modifier 25. The policy was slated to take effect on March 1, 2018, across Anthem’s commercial health insurance businesses. Anthem will provide formal notification to its contracted providers regarding its decision on modifier 25.
– Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians
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Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.