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

August 15th, 2017 - NAMAS
Categories:   Audits/Auditing   Billing  
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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.

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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



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