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Viewing:  Jun 18, 2019

UnitedHealthcare Articles and Resources

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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UnitedHealthcare to Discontinue Coverage of Consultations

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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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New Policy from UnitedHealthcare

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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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The Incredible Disappearing Consultation

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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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Documentation and Reimbursement for Testing

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

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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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