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Payment Policy Notifications

To help you code and submit your claims correctly, we’ve summarized the following payment policy requirement updates and changes.

Payment Policy Notification Updates 

2018

05.11.2018 - Reimbursement Reminder for Duplicate or Repeat Services of Global Test Only Codes

01.01.2018 - Reimbursement Notice for Multiple Procedure Reduction Codes

01.11.2018 - Policy Reminder: Reimbursement for Laboratory Claims

2017

11.30.2017 - Reimbursement Change for Image Guidance Code 77014

11.06.2017 - Ambulance Reimbursement Policy Coding Guidelines Reminder and Policy Changes for 2018

10.26.2017 - New Add-On Codes Facility Policy - Effective Feb. 1, 2018

10.26.2017 - Two Place-of-Service (POS) Codes Added to Facility POS Code List in Two Policies

09.11.2017 - National Drug Code Requirements for UnitedHealthcare Community Plan Professional Claims Frequently Asked Questions

08.17.2017 - UnitedHealthcare Community Plan Bilateral Procedures and Maximum Frequency Per Day Policies – Effective Nov. 11, 2017

07.27.2017 - Claim Reprocessing for Rebundling Code 96160

07.14.2017 - Revision to the Intrauterine Device (IUD) Supply Policy

07.05.2017 - Two Place-of-Service (POS) Codes Added to Facility POS Code List in Two Policies

06.19.2017 - New Drug Testing Reimbursement Policy Effective Sep. 1, 2017

04.28.2017 - Implementation of the new Clinical Laboratory Improvement Amendments Identification Requirements Policy and the Replacement Codes Policy-Effective August 1 and November 1, 2016. Changes to the Non-Covered Codes, Ambulance, and Nonphysician Health Care Professionals Billing Evaluation and Management Codes Policies-Effective in November and December 2016

04.10.2017 - Nonphysician Health Care Professionals Billing Evaluation and Management Codes Policy – Acupuncturist Update

04.06.2017 - UnitedHealthcare Community Plan Medicare Claims Processing System Is Being Upgraded – Effective May 20, 2017

03.06.2017 - Washington Publishing Company Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) Listings

01.31.2017 - New National Drug Code Requirement Policy - Effective May 1, 2017

2016

12.01.2016 - Coding Reminder: How to Report Multiple Surgeons for One Operative Session

12.01.2016 - Policy Change for the Multiple Procedure Payment Reduction of Diagnostic Imaging Services - Effective January 1, 2017

10.21.2016 - Revision to Maximum Frequency per Day and Bilateral Procedures Policies for Procedure Codes with Bilateral Surgery Indicator of “2” - Effective February 12, 2017

08.31.2016 - Revision to Lupron Policy - Effective January 1, 2017

08.03.2016 - New Facility Reimbursement Policy-Appropriate Patient Status for Type of Bill Policy - Effective December 1, 2016