Reimbursement Policy Update: Frequency Editing-Professional

Our 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.

 

View reimbursement policies online at anthem.com

Click to find Anthem’s professional and facility reimbursement policies online.