New modifier 25 policies
It looks like Anthem is rolling out a couple of new policies for modifier 25. http://providernews.anthem.com/indiana/article/reimbursement-policy-update-modifier-25 One policy bars payment for E/Ms on the same day as a major surgery.
The second policy states that Anthem "may deny the E/M service with a modifier 25 billed on the day of a related procedure when there is a recent service or procedure for the same or similar diagnosis on record."
Have any of your payers implemented this policy yet? Are these policies an improvement on Anthem's attempt to reduce pay for E/Ms reported with modifier 25?