GSO/AAO encouraging physicians to report rejected Anthem anesthesia claims
The Georgia Society of Ophthalmology (GSO) and the American Society of Ophthalmology (AAO) are encouraging physicians who are aware of cases of Anthem denying payment for anesthesia claims to email Cherie McNett at firstname.lastname@example.org.
The organizations report that in January “Anthem posted new guidance positing that monitored anesthesia during cataract surgery is not medically necessary and suggested it will no longer cover these anesthesia services. The guidance indicates that cataract surgery does not require monitored anesthesia care except in very specific, ‘medically necessary’ situations. The document indicates that local or regional anesthesia should suffice.”
Click for additional information/resources