AMIC applauds Anthem’s decision not to move forward with modifier 25 payment reduction
The Access to Medical Imaging Coalition (AMIC) announced Tuesday, March 6, that its members applaud Anthem for not moving forward with its decision to reduce payments for evaluation and management services billed with modifier 25 by 50 percent.
In its statement, the AMIC also referenced two other current Anthem policies that worry its members.
“We are encouraged by Anthem’s decision and hope that the company will continue the dialogue with the physician community to address concerns with additional policies and guidelines that would disrupt the continuum of care delivery,” Tim Trysla, AMIC executive director, said in a prepared statement. “We are especially concerned with two of Anthem’s policies—one that directs patients who need an MRI or CT away from hospital-based outpatient imaging services and another that retroactively denies coverage for emergency room services deemed non-emergent.”
More Radiology Business coverage of the Anthem policy related to outpatient imaging mentioned in Trysla’s statement can be found here, here and here.
Michael has more than 18 years of experience as a professional writer and editor. He has written at length about cardiology, radiology, artificial intelligence and other key healthcare topics.