DecisionHealth, DecisionHealth - 2019 Issue 9 (September)

Anthem’s new prepay review policy will target Correct Coding Initiative bundles

Review your practice’s use of modifiers that break edit pairs and check the policies for using those modifiers if Anthem is in your payer mix. Anthem BlueCross BlueShield, the nation’s second largest private health insurer, rolled out a prepayment review of claims reported with common Correct Coding Initiative (CCI) modifiers starting Sept. 1.

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