Anthem Audits & Documentation Requirements
Anthem is starting to do audits on PT services. Some providers are being put on “pre-payment review” because their documentation is not meeting Anthem’s standards. Please review Anthem’s Clinical UM Guideline for PT services (CG-REHAB-04) published on 10/17/2018 for documentation requirements and other coverage policies. If you are audited and don’t agree with the outcome, especially […]
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