Does Anthem BC Follow Medicare’s 8-Minute Rule?

October 7, 2024
 / 
Rick Gawenda
 / 

The Centers for Medicare and Medicaid Services implemented the 8-minute rule on April 1, 2000. The 8-minute rule applies to 15-minute time-based codes. When initiated, the 8-minute rule applied to original Medicare only; however, we have seen other insurers implement the 8-minute since 2000.

Anthem BC is the largest BC carrier in the United States providing coverage in 14 states. In this article, I will answer the following questions regarding Anthem and the 8-minute rule for outpatient therapy billing:

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  1. When did Anthem switch to doing the 8 minute rule? Is the effective date 4/1/2021 or is this something more recent?