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 that 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 contract manager or Provider Experience representative.
Past notifications related to the E/M services correct coding — professional program may be found on our provider website.
March 2022 Anthem Provider News - Ohio