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...
At a time when patients and providers alike are being severely impacted by the COVID-19 Public Health Emergency, UnitedHealthcare (UHC) has taken the opportunity to push some aggressive policy changes to limit care — all while reaping record profits. As of July...
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...
As CMS and the AMA continue to develop new codes for performing and billing COVID-19 testing, we will work to update you with the latest information to ensure you’re being reimbursed properly during the ongoing public health emergency. Here’s a quick rundown of...
UnitedHealthcare has announced it will begin limiting reimbursements for hospitals acting as reference labs or conducting diagnostic testing on non-patients, according to a recent bulletin issued to providers. According to the notice, for claims paid on or after May...
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