Effective December 1, 2016, in order to stay consistent
with Medicare, AmeriHealth will deem physical status
modifiers (P3 ? P5) as informational only. These modifiers will not
be eligible for any additional reimbursement for
Medicare Advantage members.
An update to Policy #MA00.009d: Reporting and Documentation Requirements for
Anesthesia Services was posted
as a Notification on September 1, 2016.
Note: This policy applies to professional providers who bill on a
CMS-1500 claim form or via the electronic equivalent,
837P, for all AmeriHealth Medicare Advantage members.
To view the Notification for this policy, visit our Medical Policy Portal and select Accept and
Go to Medical Policy Online. Then select Medicare Advantage under
Active Notifications.
If you have any questions, please contact your Provider Partnership
Associate or Network Coordinator.