Anthem BCBS of Georgia will implement rehabilitative site of care guidelines for outpatient physical, occupational, and speech therapy services. In this article, I will answer the following questions:

A BCBS insurer has announced they will be implementing prior authorization for outpatient physical, occupational, and speech therapy services. In this article, I will answer the following questions:

Can physical therapists, occupational therapists, and speech-language pathologists bill and be reimbursed for an assessment of social determinants of health? In this article, I will provide answers to the following questions:

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 what you must document for time for patients receiving outpatient therapy services:

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:

Anthem Blue Cross and Blue Shield has updated their Kentucky Provider Manual. To access the updated manual, log into your account and click

Anthem Blue Cross and Blue Shield has updated their Virginia Professional Provider Manual. To access the updated manual, log into your account and click

The National Correct Coding Initiative (NCCI) edits Version 30.3 are effective with dates of service October 1, 2024 – December 31, 2024. As a Gold, Platinum, or Diamond Member to my website, you have access to our NCCI Edit “cheat sheet” for modifier 59 that is specific to outpatient physical, occupational, and speech therapy services. To access NCCI Edits Version 30.3 for Medicare, click HERE and log into your account. To access NCCI Edits Version 30.3 for Medicaid, click HERE and log into your account.