New Reimbursement policy update: Place of Service Evaluation and Management Place of Service (Facility)

A new facility reimbursement policy titled Place of Service Evaluation and Management will be implemented beginning with dates of service on, or after June 1, 2021. The policy outlines where Evaluation and Management (E&M) services can be rendered by office, professional building, medical office building, clinic or a space owned by a hospital or an institutional provider, other than the primary structure on the campus of the hospital or institutional provider, or rented by a professional from the hospital or an institutional provider.  E&M Services must be billed on a CMS-1500 claim form and are not reimbursable if they are billed on a UB-04 claim form.

For more information about this policy, visit the Reimbursement page on our anthem.com/provider website.

 

991-0321-PN-GA