Conversation

"He said that experts tried to explain the way anesthesia billing works — that one specific billing code could be used for nearly 200 different procedures, leaving great variability in the amount of time needed under anesthesia — and learned that Anthem hadn’t audited claims and didn’t have any evidence that there was a problem that needed to be fixed.

“It’s a cynical exercise in figuring out a way to reject more claims initially, knowing that a number of those are just going to fall off and never be paid,” Morewood said."
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