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Written by Mick Raich
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Monday, 08 June 2009 14:17 |
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Anthem BCBS in
Wisconsin has drastically cut their fee schedule from 2008 and is paying on average 12% less in 2009.
While performing a quarterly audit for one of our clients, Vachette Pathology found that Anthem BCBS had changed their payment. Comparing the fees from 2008 to the fees being paid in 2009, it appears
Wisconsin pathologists are getting a 11.6% pay cut from Anthem BCBS.
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Anthem BCBS Reimbursement
(26 Modifier)
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CPT |
2008 |
2009 |
Change |
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88302 |
$10.98 |
$9.71 |
-11.6% |
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88304 |
$17.64 |
$15.49 |
-12.3% |
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88305 |
$61.22 |
$53.80 |
-12.3% |
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88307 |
$128.67 |
$115.35 |
-10.4% |
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88342 |
$68.45 |
$60.52 |
-11.6% |
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Net |
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-11.6% |
In today’s economy, Anthem is setting a trend that others are sure to follow.
- When was the last time you audited your payments?
- How would you know if this is happening to you?
- Are your volumes increasing or stable while your payments are decreasing??
- How are you going to react to this change?
If you want information to reverse negative payment trends in your area please contact
Mick Raich with Vachette Pathology.
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