Anthem’s new prepay review policy will target correct coding initiative bundles

Article Overview

This article covers a payer policy update from Anthem BlueCross BlueShield that introduces prepayment review of claims associated with selected Correct Coding Initiative-related modifiers. It is aimed at physicians, coders, billing staff, and practice managers who need to understand the broad compliance, documentation, and audit-preparedness implications when working with Anthem as a payer. The article also notes the role of insurer policy guidance, industry coding resources, and documentation review in responding to such audits.