UHC sets new imaging accreditation requirement

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a UnitedHealthcare payment policy change tied to accreditation for outpatient imaging in physician offices and freestanding imaging centers. It is aimed at practice administrators, orthopedics and other physician groups that perform imaging in-house, and it discusses the general scope of the affected modalities, the accreditation organizations recognized by the payer, timing, and practical considerations for practices preparing for the change.

Why This Topic Matters

The policy may affect reimbursement for practices that perform imaging services in-house, making accreditation status an operational and financial issue for affected providers.

Article Sections

  1. Imaging accreditation requirement

    Overview of the payer policy change and the types of practice settings and services implicated. The section frames the scope of the new accreditation expectation and its timing.

  2. Affected imaging modalities

    Broad coverage of the categories of imaging services referenced as part of the policy. It notes that several modalities are included and that one common imaging type is not listed.

  3. What must be accredited

    General discussion of how accreditation applies across sites and service locations within a practice. It addresses the organizational scope of the requirement.

  4. Recognized accreditation organizations

    Identification of the external organizations the payer will accept for accreditation. The section provides context for practice selection and implementation planning.

  5. More payers likely to follow

    Commentary on the possibility that other payers may adopt similar expectations. The section places the policy in a broader payer trend context.

  6. Expect expense & a tough process

    High-level discussion of the administrative effort, time, and cost associated with obtaining accreditation. It also highlights practice workflow considerations and preparation.

  7. First step: Get educated on both the ACR and IAC programs

    Practical preparation guidance focused on learning about the available accreditation programs and planning ahead. The section emphasizes early implementation steps without detailing selection criteria.

  8. Resources

    Links and references to the payer announcement and the organizations named in the article. This section serves as a source directory for follow-up information.

What You Will Learn

  • Which types of outpatient imaging services are affected by the policy change
  • Which practice settings may need to consider accreditation
  • Which organizations are recognized for accreditation under the policy
  • What operational factors practices should anticipate when preparing for accreditation
  • Why the policy may matter beyond one payer

Who Should Read This

  • Orthopedic practices
  • Physician practice administrators
  • Radiology and imaging center managers
  • Billing and revenue cycle staff
  • Practice compliance staff

Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?