Codapedia is now a division of Find-A-Code

United HealthCare Ending Consultation Reimbursements: Effective October 1st, 2017

August 15th, 2017 - NAMAS
Categories:   Audits/Auditing   Billing  
0 Votes - Sign in to vote or comment.

Important Changes to Consultations from United Healthcare

While Medicare discontinued payment allowance for consultation services (ranges 99241-99245 and 99251-99255) in January 2010, many commercial carriers have continued to cover these services. United Healthcare is now joining Medicare's opinion on consultation services.

In the June 2017 edition of the United HealthCare Bulletin, United Healthcare has announced that effective October 1, 2017, they will discontinue payment of CPT codes for consultation services.

According to UnitedHealthcare, effective October 1, 2017 it will reimburse the appropriate E/M procedure code in lieu of a consultation code. This change will align UnitedHealthcare with CMS' policies regarding payment for consultation codes.

Click Here to View The Full News Alert Which Contains Instructions on Who to Contact With Questions

What Are Your Thoughts?

Do these changes clear up any confusion, or add more confusion to your day to day operations? We've created a discussion thread within our online forum for you to provide your feedback!

Click Here to Provide Your Feedback Regarding the proposed changes from UnitedHealthcare



###

Questions, comments?

If you have questions or comments about this article please contact us.  Comments that provide additional related information may be added here by our Editors.


Latest articles:  (any category)

Medicare Improper Payment Report (2016)
September 1st, 2017 - Wyn Staheli
The Medicare Improper Payment Report for 2016 has been released by the OIG. Please note that the improper payment rate does not measure fraud. Rather, it estimates the payments that did not meet Medicare coverage, coding, and billing rules. The estimated Medicare FFS payment accuracy rate (claims...
Quality Measures for Chiropractic - 2017
August 29th, 2017 - Wyn Staheli
Performance Measurement Codes for Chiropractic: Although there are hundreds of Performance Measurement (PM) services and events, only two may be reported for chiropractors for the 2017 reporting year. Pain Assessment and Follow-Up 131 ENCOUNTER: 90791, 90792, 92002, 92004, 92012, 92014, 92507, 92508, 92526, 96116, 96118, 96150, 96151, 97161, 97162, 97163, 97164, 97165, 97166, 97167, ...
VA Patient-Centered Community Care and Veterans Choice Program: Worth it for Providers?
August 23rd, 2017 - Jared Staheli
As the opportunities for providers outside the VA system expand in order to meet demand, you may be interested in offering services to veterans and the VA, if you are not already. With overwhelming bipartisan support, the opportunities are not likely to abate, but are those opportunities worth it for ...
Transparency and Fees
August 15th, 2017 - Christine Taxin
More than any other industry, healthcare is almost notorious for its lack of price transparency. While patients generally know how much their copay will be and certainly how much their final bill turns out to be, few hospitals and practices publish the actual costs of their services prior to those ...
United HealthCare Ending Consultation Reimbursements: Effective October 1st, 2017
August 15th, 2017 - NAMAS
While Medicare discontinued payment allowance for consultation services (ranges 99241-99245 and 99251-99255) in January 2010, many commercial carriers have continued to cover these services. United Healthcare is now joining Medicare's opinion on consultation services. In the June 2017 edition of the United HealthCare Bulletin, United Healthcare has announced that effective October ...
Collect More Cash from Patients
August 11th, 2017 - Christine Taxin
One of the easiest things a practice can do to increase collections makes it easier for patients to pay by whatever method they have available at the time of the visit, says Christine Taxin Adjunct Professor at NYU Dental School and Owner of Links2Success.biz.
Cybersecurity - Are you sure you are secure?
August 4th, 2017 - Wyn Staheli
An article by Medical Economics highlights the June report of the Health Care Industry Cybersecurity Task Force. Their report confirmed once again that healthcare providers are not adequately addressing cybersecurity as part of the compliance programs. The threat of hackers is very real and providers need to ensure that they have taken ...



About Codapedia & Find-A-Code Contact Us Terms of Use Privacy Policy Advertise with Us

Codapedia™/Find-A-Code™ - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain) - Fax (801) 770-4428

Copyright © 2009-2017 Find A Code, LLC - CPT® copyright American Medical Association