Case Study Details
Chief Complaint: Low back pain with left lower extremity pain radiating to the knee, and difficulty walking
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Chief Complaint: Low back pain with left lower extremity pain radiating to the knee, and difficulty walking
News
Anthem's UM Arm Releases Guidelines on Clinical AppropriatenessFeb 5, 2021
Included: lists of what is and isn't considered medically necessary under Anthem's MA, Medicaid, and commercial offerings.
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The major commercial insurer follows Cigna in a decision to lift misguided coding edits, a target of APTA advocacy efforts.
Article
Code Pairing Edits: Four Things To KnowJan 25, 2021
APTA successfully advocated for CMS to lift misguided coding edits, and we're working to bring commercial payers around.