P2P Call Guide

How to Win a P2P Call for Home Health Services Denied by Anthem BCBS

Payer-specific strategy, medical necessity arguments, and the exact phrases to use when Anthem / Blue Cross Blue Shield denies Home Health Services (CPT 99345, 99350, G0299).

Why Anthem BCBS Denies Home Health Services

Patient is not homebound

Skilled need not documented

Services exceed reasonable frequency

Know Anthem / Blue Cross Blue Shield's Criteria

Anthem uses their own Clinical UM Guidelines and AIM Specialty Health for imaging. Medical policy numbers are publicly searchable.

Key policies to know:

  • AIM Specialty Health manages imaging prior auth
  • Clinical UM Guidelines searchable at anthem.com/provider
  • Known for strict imaging prior auth requirements
  • Uses evidence-based medicine approach with published policies

Building Your Medical Necessity Argument

Document homebound status with specific functional limitations

Define the skilled need (wound care, medication management, PT/OT)

Note why outpatient services are not feasible

Reference recent hospitalization or change in condition

P2P Call Tips for Anthem BCBS

Reference specific Anthem Clinical UM Guideline by policy number

For imaging, address AIM criteria specifically

Anthem medical directors appreciate evidence-based arguments

Cite specific clinical criteria being met from their own policy

Guidelines to Reference

  • CMS Home Health Coverage Requirements
  • Medicare Benefit Policy Manual Ch. 7

Relevant CPT Codes

CPT 99345CPT 99350CPT G0299

Specialty: Internal Medicine / Family Medicine

Want the full strategy?

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