Current News



Anthem BC Requires Modifiers on Outpatient Therapy Claims

Anthem BC has revised their policy concerning modifiers that are required on outpatient physical, occupational and speech therapy claims. Failure to append the applicable modifier will result in nonpayment of your claim. Anthem BC services the following states: California Colorado Connecticut Georgia Indiana Kentucky Maine Missouri New Hampshire Nevada New York Ohio Virginia Wisconsin To access the policy, click I hope you found this article helpful. Thank you for being a Gold Member!

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July 2020 Telehealth Updates

With the Secretary of the Department of Health and Human Services extending the Public Health Emergency (PHE) due to the COVID-19 pandemic, many private practices as well as facilities and organizations want to know what does this mean for the extension of providing outpatient therapy services via telehealth. In this article, I will provide updates on outpatient therapy services delivered via telehealth for the traditional Medicare Part B program and some of the larger national insurance carriers. Medicare (Traditional) Aetna Anthem BCBS of Colorado Anthem BCBS of Connecticut Anthem BCBS of Georgia Anthem BCBS of Indiana Anthem BCBS of Kentucky

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Anthem BCBS of Georgia and Telehealth

Anthem Blue Cross Blue Shield (BCBS) of Georgia has a webpage where they are posted updates regarding COVID-19. To access the BCBS of Georgia provider home page, click HERE.

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Anthem Delays Implementation of New Utilization Management Program

Anthem BC has announced its delayed implementation of AIM for the state of California. The AIM Utilization Management program will not go live on March 25, 2019. The new implementation date will be communicated once it becomes available.

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