tci Part B Insider - 2006 Issue 8

PHYSICIAN NOTES: Say Goodbye To Level Four E/M Visits In SW Ohio

One practice loses $430,000 per year thanks to 'blended' visitsYou'd better hope your private payors don't follow Anthem Blue Cross Blue Shield's example with evaluation and management coding. Anthem has decided to "blend" level three and level four E/M visits into a single level. It'll pay an amount somewhere between the payment for a level three and a level four for those visits, according to a Feb. 20 article in the Cincinnati Business Courier. The policy applies only to Southwest Ohio and Northern Kentucky, and Anthem says it has no plans to expand it elsewhere.Anthem wouldn't reveal...

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