Ohio
Provider Communications
Evaluation and management services correct coding reminder - professional
The maximum level of service for E/M codes will be based on the complexity of the medical decision-making or time and reimbursed at the supported E/M code level and fee schedule rate.
Providers who believe their medical record documentation supports reimbursement for the originally submitted level for the E/M service will be able to follow the dispute resolution process (including submission of such documentation with the dispute).
If you have questions on this program, contact your Provider Experience representative.
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March 2022 Anthem Provider News - Ohio