medicbilling

Posts Tagged ‘Anthem’

Expect Heightened Review of Use of Modifiers -24, -25, -57, and -59

In Uncategorized on August 22, 2013 at 6:01 pm

Just a reminder to be careful with modifier use!

In 2012, the Medical Society of Virginia (MSV) was given advance notice that Anthem would soon begin targeting claims filed using modifiers 24, 25, 57 and 59.  Physicians who regularly use these modifiers should have also received a letter from Anthem requesting documentation to support the use of these modifiers.  Specialties that will be most affected include dermatology and orthopaedics.  Physicians may soon see similar efforts from other carriers as these targets are consistent with the Office of the Inspector General’s 2012 Work Plan.  Please contact MSV’s physician advocacy team at practiceservices@msv.org with any questions.

 

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