Anthem agrees to fully rescind modifier 25 cuts
Click here if you are having trouble viewing this message.
Medical Society of Virginia Alert

Anthem agrees to fully rescind modifier 25 cuts
from the American Medical Association, Jack Resneck, Jr., MD, Chair-Elect, AMA Board of Trustees

Anthem will not proceed with its policy to reduce payments for E&M services reported with CPT modifier 25. Anthem plans to formally notify its contracted providers within the next few days of this decision.

Additionally, Anthem has expressed commitment to continuing to work with the AMA, state medical associations, and national medical specialty societies to address physician concerns with other policies and guidelines.

We recognize and appreciate the strong advocacy efforts that many of your organizations have invested in this issue over the past few months. We believe that Anthem’s decision reflects the growing recognition of the need for a different type of dialogue and engagement between health plans and the physician community to improve health care quality, access, and affordability.