tci Medicare Compliance & Reimbursement - 2018 Issue 8
Reader Question: Anthem Opts Not to Change Modifier 25 Policy
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Article Overview
This article covers a payer policy update affecting evaluation and management claims, with background on a previously announced Anthem reimbursement change and the later decision not to proceed with it. It is relevant for coding, billing, and reimbursement professionals who track payer-specific policy changes, and it mentions the AMA and Medicare-related context in a short reader Q&A format.
Why This Topic Matters
Payer policy changes can affect claim reimbursement and workflow for practices that bill evaluation and management services. Staying current helps coding and billing staff monitor whether previously announced payment impacts are still expected.
What You Will Learn
- The general background of Anthem’s announced payment policy change
- How the article frames the later reversal of that plan
- Which organizations are mentioned in connection with the update
- The broader relevance of payer policy monitoring for billing teams
Who Should Read This
- Medical coders
- Billers
- Practice managers
- Revenue cycle staff
- Compliance personnel
Modifiers Discussed
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