In Billing
Jul 12th, 2019
UnitedHealthcare, one of nation’s leading health plans, will provide coverage for Inspire, Inc.’s novel obstructive sleep apnea (OSA) therapy starting in August. This determination comes almost one year to the day after Aetna agreed to cover Inspire’s neurostimulation device. And over the past year, BlueCross BlueShield joined the movement and is now offering several plans ...
In Billing
Jan 29th, 2010
As we reported in a previous article, President Obama signed the Department of Defense appropriations bill into law on Dec. 19, 2009, delaying a 21.2 percent reduction in physician fees until March 1. In response, just days later, the Centers for Medicare & Medicaid Services (CMS) released the January 2010 Physician Fee Schedule (PFS) file that ...
In Coding
Dec 31st, 2009
Jan. 1 has come and gone and so, too, have CPT® consultation codes (99241-99255). As predicted, Medicare Administrative Contractors (MACs) and other payers have implemented this policy change brought forth by the Centers for Medicare & Medicaid Services (CMS). It’s important to note, however, that this change in coverage applies to public health plan options ...
In Coding
Aug 3rd, 2009
Before the end of the year, the way in which UnitedHealthcare contracted physicians and their supporting staff should report both general and obstetrical anesthesia services will change. News of recent Anesthesia Payment Policy revisions was published in UnitedHealthcare’s May 2009 Network Bulletin: Currently, UnitedHealthcare’s Anesthesia Payment Policy allows physicians to report CPT® anesthesia ...
Jul 14th, 2009
Comments Off on Revised FAQ Clarifies Cost Sharing Policy
UnitedHealthcare recently revised a Frequently Asked Questions (FAQ) document on Medicare/Medicaid cost sharing for dual eligible patients to incorporate the newly acquired Unison Advantage plan, an AmeriChoice affiliate. Revised FAQ Clarifies Cost Sharing Policy was last modified: July 5th, 2011 by admin aapc...