In the January edition of Provider News, we announced updates to the following reimbursement policies:
  • Modifier Rules – professional
  • Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation – professional


For clarification, these modifier updates align with the codes the Centers for Medicare & Medicaid Services (CMS) has designated as “always therapy” services, and require GN, GO or GP modifiers for physical therapy, occupational therapy, or speech-language pathology services when billed on a professional claim.



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November 2021 Anthem Provider News - Ohio