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UnitedHealthcare Articles and Resources

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This page contains articles, resources/links and tips related to UnitedHealthcare.

Articles: 5
Tips: 2
Resoures/Links: 1
Webinars: 0

UnitedHealthcare Articles

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March 4th, 2019

UnitedHealthcare to Discontinue Coverage of Consultations

By Wyn Staheli, Director of Research | Published March 4th, 2019 - Last Review/Update March 7th, 2019

In United Healthcare's March provider bulletin, they announced that beginning on June 1, 2019, they will be phasing out coverage of consultation services (99241-99255).

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September 22nd, 2017

New Policy from UnitedHealthcare

By Shannon DeConda, CPC, CPC-I, CEMC, CMSCS, CPMA, CEMA | Published September 22nd, 2017 - Last Review/Update January 31st, 2018

In the June 2017 UHC Network Bulletin, there was an article that addressed UHC's decision to no longer pay for consultation services.....

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August 18th, 2017

The Incredible Disappearing Consultation

By J. Paul Spencer, CPC, COC | Published August 18th, 2017 - Last Review/Update January 25th, 2018

In January of 2010, CMS ceased payment of CPT codes for consultations (99241 through 99245 for outpatient, and 99251 through 99255 for inpatient).

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September 21st, 2015

Documentation and Reimbursement for Testing

By Chris Woolstenhulme, QCC, CMCS, CPC, CMRS | Published September 21st, 2015 - Last Review/Update August 7th, 2017

The medical record must contain documentation that the testing is expected to influence treatment of the condition toward which the testing is directed. The laboratory or billing provider must have on file the physician requisition which sets forth the diagnosis or condition that warrants the test(s). TC - Technical component Modifier may be ...

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December 18th, 2014

United Health Care Modifier Reference Policy Effective 11/01/2014

By Chris Woolstenhulme, QCC, CMCS, CPC, CMRS | Published December 18th, 2014 - Last Review/Update March 1st, 2016

According to the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS), a modifier provides the means to report or indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code. It may ...

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