This discussion was recorded on August 31, 2022. This transcript has been edited for clarity.
Editor's Note: All views expressed are those of the authors and do not represent the opinions of any affiliates. Medscape reached out to Anthem with an opportunity to respond to claims made regarding payment denials mentioned in this interview. Since the alleged claims are currently the subject of litigation, Anthem could not comment on specifics.
Robert D. Glatter, MD: Welcome. I'm Dr Robert Glatter, medical advisor for Medscape Emergency Medicine. Today, we will be discussing a disturbing pattern of nonpayment and denials by the insurer Anthem that leaders at the American College of Emergency Physicians (ACEP) have recently drawn attention to.
Here to discuss this is Dr Andrew Fenton, an emergency physician with Napa Valley Emergency Medical Group and chief of staff at Queen of the Valley Medical Center in Napa, California. Also joining us is James (Jim) Blakeman, president of Kirk and Associates, a billing and coding firm in Newark, Delaware, along with Andrew (Andy) Selesnick, a partner with the Buchalter law firm in California, specializing in healthcare litigation.
Welcome, gentlemen.
Andrew N. Fenton, MD: Thank you.
James R. Blakeman, MDiv: Good morning.
Andrew H.
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COMMENTARY
How Anthem Gets Away With Nonpayment and Denials
Robert D. Glatter, MD; Andrew N. Fenton, MD; James R. Blakeman, MDiv; Andrew H. Selesnick, JD
DisclosuresOctober 04, 2022
This discussion was recorded on August 31, 2022. This transcript has been edited for clarity.
Editor's Note: All views expressed are those of the authors and do not represent the opinions of any affiliates. Medscape reached out to Anthem with an opportunity to respond to claims made regarding payment denials mentioned in this interview. Since the alleged claims are currently the subject of litigation, Anthem could not comment on specifics.
Robert D. Glatter, MD: Welcome. I'm Dr Robert Glatter, medical advisor for Medscape Emergency Medicine. Today, we will be discussing a disturbing pattern of nonpayment and denials by the insurer Anthem that leaders at the American College of Emergency Physicians (ACEP) have recently drawn attention to.
Here to discuss this is Dr Andrew Fenton, an emergency physician with Napa Valley Emergency Medical Group and chief of staff at Queen of the Valley Medical Center in Napa, California. Also joining us is James (Jim) Blakeman, president of Kirk and Associates, a billing and coding firm in Newark, Delaware, along with Andrew (Andy) Selesnick, a partner with the Buchalter law firm in California, specializing in healthcare litigation.
Welcome, gentlemen.
Andrew N. Fenton, MD: Thank you.
James R. Blakeman, MDiv: Good morning.
Andrew H.
Medscape Emergency Medicine © 2022 WebMD, LLC
Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Robert D. Glatter, Andrew N. Fenton, James R. Blakeman, et. al. How Anthem Gets Away With Nonpayment and Denials - Medscape - Oct 04, 2022.
Tables
Authors and Disclosures
Authors and Disclosures
Author(s)
Robert D. Glatter, MD
Assistant Professor of Emergency Medicine, Department of Emergency Medicine, Zucker School of Medicine at Hofstra/Northwell, New York, NY
Disclosure: Robert D. Glatter, MD, has disclosed no relevant financial relationships.
Andrew N. Fenton, MD
Emergency Medicine Physician, Napa Valley Emergency Medical Group; Chief of Staff, Queen of the Valley Medical Center, Napa, California
Disclosure: Andrew N. Fenton, MD, has disclosed no relevant financial relationships.
James R. Blakeman, MDiv
President, Kirk and Associates LLC, Newark, Delaware
Disclosure: James R. Blakeman, MDiv, has disclosed the following relevant financial relationships:
Serve(d) as a director, officer, partner, employee, advisor, consultant, or trustee for: Kirk and Associates, President; JRBlakeman, LLC, Owner
Serve(d) as a speaker or a member of a speakers bureau for: AAEM
Have a 5% or greater equity interest in: JRBlakeman, LLC, Owner
Received income in an amount equal to or greater than $250 from: Kirk and Associates; JRBlakeman, LLC, Owner
Andrew H. Selesnick, JD
Chair, Health Care Litigation Group, Buchalter, a Professional Corporation, Los Angeles, California
Disclosure: Andrew H. Selesnick, JD, has disclosed no relevant financial relationships.