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Facing provider resistance, Anthem softens modifier 25 policy

By 2018, Coding and Auditing, Practice Operations, Regulatory Compliance
Facing provider resistance, Anthem softens modifier 25 policy By Grant Huang Director of Content at DoctorsManagement At least one Blue Cross Blue Shield (BCBS) payer has responded to provider pushback against the modifier 25 payment reduction policy by weakening it. Anthem BCBS has announced that it will change the payment reduction from 50% to 25%...
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Look for big changes to ENT procedure coding in 2018

By 2017, Coding and Auditing, Practice Operations, Regulatory Compliance
Look for big changes to ENT procedure coding in 2018 Endoscopy codes will see some of the biggest changes of all procedure codes next year under Medicare’s 2018 Physician Fee Schedule (PFS) final rule. Below are the highlights. Brand-new endoscopy codes. CMS is introducing five new nasal/sinus endoscopy codes that each represent a bundle of...
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