By: AJ Lech, Client Administrator, Lighthouse Lab Services The UnitedHealthcare Medicare Advantage product will now require a DEX Z-code, effective 10/1/21. Similar to Medicare, the Z-code will be submitted in the Loop 2400. UHC will not require any separate...
Multiple labs we work with have recently received pre-payment records requests from UnitedHealthcare to support their Covid-19 testing. While UHC isn’t denying these tests for improper coding, the payments they’ve put on hold amount to nearly $1 million in...
FYI: This post originally ran in October 2020 when UHC first announced this move. We have bumped it to the top of our blog as a reminder the policy change is now in effect. After making the move to align prostate biopsies with G0416 for Medicare Advantage plans...
We’ve recently seen many commercial payers move to only paying prostate biopsies coded G0416 instead of 88305 (for instance, Cigna will institute this rule effective Aug. 18). It’s not exactly a major surprise to see them adopting CMS guidelines on this...
Beginning Oct. 1, United Healthcare (UHC) will require labs to provide unique test codes on claims for in-scope services. In order to comply, lab providers must register their lab tests BEFORE Sept. 1, 2020. Lab test codes must be on claims for in-scope lab test...
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