Acupuncture Today – October, 2018, Vol. 19, Issue 10

An Audit From Anthem for Misuse of 99212?

By Samuel A. Collins
Q: I had a friend who was audited by Anthem for their use of 99212, an office visit and now they are requesting a large refund stating its use was improper. I, like my friend, perform an evaluation of my patient daily. Why does this not qualify as billable service? Furthermore, why do they pay for an E&M and later ask for it back, they should not pay it in the first place. 

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