An Anthem policy which allows documentation reviews of OB anesthesia cases longer than 300 minutes caused some confusion with the phrase “based on the time the provider is physically present with the member” because it could be interpreted as a departure for how OB anesthesia is normally billed. Anthem has offered a clarification. READ MORE
Eligible providers who participated in MIPS in 2018 can now review their performance reports, and 2017 MIPS participants can expect to see some performance information on the Physician Compare website. READ MORE
As the surprise billing debate continues, emergency physicians have begun lining up behind one bipartisan House bill. READ MORE
Just weeks after Anthem announced then retracted a new post-payment review policy for emergency department level 5 services for its commercial plans in some states, the payer has now announced that the policy will be implemented for Medicare Advantage plans in most states where Anthem conducts business. READ MORE
