Billing Beat

BCBS-Anthem: Reimbursement Policy Update: Frequency Editing-Professional

September 9, 2019

Frequency Editing policy applies frequency maximums per day and/or per date span within the same grouping which may be based on the CMS’s MUEs, industry standards, and/or code description.  Beginning with dates of service November 1, 2019, maximum units per day may be based on claims data analysis.

Source: https://providernews.anthem.com/wisconsin/article/reimbursement-policy-update-frequency-editing-professional-1

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