Review these payment policy updates to help code and submit your claims correctly
Current Payment Policy Notification Updates
- Updated Procedure to Modifier Policy, Professional – Always Therapy: GN, GO, and GP modifiers Required - Effective April 1, 2020 - UnitedHealthcare Community Plans of CA, FL, HI, MD, MA, MI, MO, NE, NY, OH, PA, RI, VA, WA, and WI
- Update: Intraoperative Neuromonitoring Policy, Professional and Facility - Effective May 01, 2020 - UnitedHealthcare Community Plans of CA, FL, HI, MD, MA, MI, MO, NE, NY, OH, PA, RI, VA, WA, and WI
- New York Payment Policy Change Notice - Discontinuation of Reimbursement for Hyaluronic Acid for Treatment of Osteoarthritis of the Knee - Effective Jan 1, 2017 - Date Posted 01.22.2019
- New Policy: Advanced Practice Health Care Provider Policy: New Jersey, Professional - Effective January 15, 2020
- National Drug Code (NDC) Requirement Policy, Professional and Facility - UnitedHealthcare Community Plans of AZ, DE, FL, HI, IA, MA, MD, MI, MO MS, NE, NJ, NM, NY, OH, PA, RI, TX, VA, WA, and WI - Effective March 1, 2020
- Updated Professional Technical Component Policy, Professional - UnitedHealthcare Community Plans of DE, FL, HI, MA, MD, MI, MO, NY, OH, PA, RI, VA, WA, and WI - Effective Feb. 1, 2020
- New Policy: Advanced Practice Health Care Provider Policy, Professional - UnitedHealthcare Community Plan of New Jersey - Effective January 15, 2020
- Electronic Visit Verification Requirement FAQ - UnitedHealthcare Community Plan of Florida - Effective 12.01.2019
- New Respiratory Virus Panel Testing Professional and Facility Reimbursement Policy - UnitedHealthcare Community Plan of New Jersey - Effective 11.15.2019
- Reimbursement Notice for Evaluation and Management Services Performed During Global Obstetrical Care - UnitedHealthcare Community Plan of Tennessee
- Emergency Department Coding Policy Update - UnitedHealthcare Community Plan of Rhode Island - Effective 11.01.2019
- New Respiratory Viral Panel Testing - Professional and Facility Reimbursement Policy - UnitedHealthcare Community Plan of Wisconsin - Effective 11.01.2019
- New Respiratory Virus Panel Testing Professional and Facility Reimbursement Policy - Unitedhealthcare Community Plan of Tennessee - Date Posted 08.30.2019
- New Respiratory Virus Panel Testing Professional and Facility Reimbursement Policy - Unitedhealthcare Community Plan of Nebraska - Date Posted 08.30.2019
- New Respiratory Virus Panel Testing Professional and Facility Reimbursement Policy - Unitedhealthcare Community Plan MA and NC - Date Posted 08.30.2019
- New Respiratory Virus Panel Testing Professional and Facility Reimbursement Policy - Unitedhealthcare Community Plan AZ and TX - Date Posted 08.30.2019
- New Respiratory Virus Panel Testing Professional and Facility Reimbursement Policy - Unitedhealthcare Community Plan of FL, HI, MD, MI, OH, PA, and VA - Date Posted 08.01.2019
- New Respiratory Virus Panel Testing Professional and Facility Reimbursement Policy - Unitedhealthcare Community Plan of Missouri - Date Posted 07.31.2019
- New Respiratory Virus Panel Testing Professional and Facility Reimbursement Policy - Unitedhealthcare Community Plan of Rhode Island - Date Posted 07.31.2019
- New Respiratory Virus Panel Testing Professional and Facility Reimbursement Policy - Unitedhealthcare Community Plan of California - Date Posted 07.31.2019
- Readmission Review Frequently Asked Questions (Updated) - Dated Posted 06.26.2019
- Reimbursement Policy Updates for June 2019 - Date Posted 06.11.2019
- New York Payment Policy Change Notice ‒ CPT® codes 87631, 87632 and 87633 Discontinued for Reimbursement - Date Posted 05.07.2019
- New Emergency Room (ER) Services Reimbursement Policy for UnitedHealthcare Community Plan of Florida M*Plus Managed Medical Assistance (MMA) - Date Posted 03.25.2019
- Update to Observation Services Facility Policy –Starting March 1, 2019 (Nebraska, New York) - Date Posted 02.05.2019
- New Vitamin D Reimbursement Policy – Effective March 1, 2019 (New York only) - Date Posted 02.14.2019
- Claim Submission Tips to Help Meet CLIA Reimbursement Policy Claim Requirements - Date Posted 02.11.2019
- Reprocessing Claims Affected by Our Multiple Procedure Reduction Reimbursement Policy (Arizona, Louisiana, Mississippi, Nebraska, Texas Excluded) - Date Posted 01.16.2019
- Urgent Care Centers: Payment Policy Change for Codes S9083 and S9088 (Massachusetts only) - Effective April 1, 2019 - Date Posted 01.15.2019
- Update to Observation Services Facility Policy – Starting Feb. 1, 2019 (HI, KS, NJ) - Date Posted 01.15.2019
- New Cesarean Delivery Reimbursement Policy (New Jersey only) - Date Posted 01.02.2019
- Urgent Care Centers: Payment Policy Change for Codes S9083 and S9088 - Effective March 1, 2019 (Virginia only) - Date Posted 12.17.2018
- Readmisssions Policy Frequently Asked Questions (Ohio, Virginia, Wisconsin only) - Date Posted 12.14.2018
- Update Obstetrical Ultrasound Reimbursement Policy effective January 1, 2019 (New Jersey only) - Date Posted 11.30.2018
- Update to the Emergency Department Facility Coding Policy – Effective January 1, 2019 (New Jersey only) - Date Posted 11.30.2018
- Update to the Emergency Department Facility Coding Policy – Effective January 1, 2019 (Maryland only) - Date Posted 11.30.2018
- Revision to Readmission Policy for Facilities - Effective March 1, 2019 (Wisconsin only) - Date Posted 11.30.2018
- Revision to Readmission Policy for Facilities - Effective March 1, 2019 (Virginia only) - Date Posted 11.30.2018
- Revision to Readmission Policy for Facilities - Effective February 1, 2019 (Ohio only) - Date Posted 11.21.2018
- November 2018 Reimbursement Policy Updates - Date Posted 10.29.2018
- Update to the Emergency Department Facility Coding Policy – Effective December 15, 2018 (Nebraska) - Date Posted 10.25.2018
- Obstetrical Ultrasound Reimbursement Policy Update: Quantity Limitations - Effective December 1, 2018 (Wisconsin only) - Date Posted 10.25.2018
- Obstetrical Ultrasound Reimbursement Policy Update: Quantity Limitations - Effective December 1, 2018 (Iowa only) - Date Posted 10.25.2018
- Obstetrical Ultrasound Reimbursement Policy Update: Quantity Limitations - Effective January 1, 2019 (Wisconsin only) - Date Posted 09.27.2018
- Obstetrical Ultrasound Reimbursement Policy Update: Quantity Limitations - Effective November 15, 2018 (Nebraska only) - Date Posted 09.27.2018
Previous Payment Policy Notifications
- New Cesarean Delivery Reimbursement Policy - Effective November 1, 2018 (Ohio only) - Date Posted 09.26.2018
- New Cesarean Delivery Reimbursement Policy - Effective November 1, 2018 (Pennsylvania only) - Date Posted 09.26.2018
- New Cesarean Delivery Reimbursement Policy - Effective November 15, 2018 (Nebraska only) - Date Posted 09.26.2018
- Update to the Emergency Department Facility Coding Policy - Effective October 10, 2018 (Iowa, Hawaii, Texas) - Date Posted 09.07.2018
- Update to the Emergency Department Facility Coding Policy - Effective October 1, 2018 (California only) - Date Posted 08.31.2018
- September Reimbursement Policy Updates - Date Posted 08.30.2018
- New Vitamin D Reimbursement Policy for Michigan and Missouri – Effective December 1, 2018 - Date Posted 08.30.2018
- New Vitamin D Reimbursement Policy for Ohio – Effective November 1, 2018 - Date Posted 08.30.2018
- New Vitamin D Reimbursement Policy for Florida – Effective October 1, 2018 - Date Posted 08.30.2018
- New Cesarean Delivery Policy - UnitedHealthcare Community Plan of Michigan - Date Posted 08.30.2018
- Upgrade to UnitedHealthcare Community Plan Claims Editing Syste, (except Arizona, Tennessee, Texas) - Date Posted 08.01.2018
- Update to the Emergency Department Facility Coding Policy for Pennsylvania and Mississippi – Beginning September 1, 2018 - Date Posted 07.31.2018
- Attention Urgent Care Centers: Payment Policy Change for Codes S9083 and S9088 (Florida, Louisiana, Mississippi, Tennessee Only) - Date Posted 07.27.2018
- New Cesarean Delivery Policy (Florida Only) - Date Posted 07.16.2018
- Reimbursement Policy Updates - Date Posted 06.06.2018
- Update to National Drug Code (NDC) Policy: Hospital Ourpatient Facility Drug Claims - Date Posted 05.25.2018
- Important Reimbursement Reminder for Duplicate or Repeat Services of Global Test Only Codes - Date Posted 05.04.2018
- Drug Testing Reimbursement Policy Frequently Asked Questions - Date Posted 04.19.2018
- Understanding Our Supply Reimbursement Policy - Date Posted 04.19.2018
- Reimbursement Change for Image Guidance Code - 77014 - Date Posted 03.09.2018
- Revision to Laboratory Services Reimbursement Policy - Date Posted 02.28.2018
- Reimbursement Notice for Multiple Procedure Reduction Codes - Date Posted 01.31.2018
- Important Reimbursement Change to Ambulance Reimbursement Policy - Date Posted 01.26.2018
- New Observation Services Facility Policy - Effective May 1, 2018 - Date Posted 1.26.2018
- Policy Reminder: Reimbursement for Laboratory Claims - Date Posted 01.05.2018
- Revenue Codes Requiring Procedure Codes Reimbursement Policy Clarification for Care Providers at Facilities and Hospitals - Date Posted 11.29.2017
- Reimbursement Change for Image Guidance Code 77014 - Date Posted 11.29.2017
- Ambulance Reimbursement Policy Coding Guidelines Reminder and Policy Changes for 2018 - Date Posted 10.26.2017
- New Add-On Codes Facility Policy - Effective February 1, 2018 - Date Posted 10.20.2017
- Drug Testing Reimbursement Policy Update - Effective January 1, 2018 - Date Posted 10.05.2017
- National Drug Code Requirements for UnitedHealthcare Community Plan Professional Claims Frequently Asked Questions - Date Posted 08.22.2017
- Reimbursement Change for Prolonged Services Policy - Date Posted 08.18.2017
- Claim Reprocessing for Rebundling Code 96160 - Date Posted 07.27.2017
- Revision to the Intrauterine Device (IUD) Supply Policy - Date Posted 07.12.2017
- Two Place-of-Service (POS) Codes Added to Facility POS Code List in Two Policies - Date Posted 06.23.2017
- New Drug Testing Reimbursement Policy Effective September 1, 2017 - Date Posted 05.31.2017
- UnitedHealthcare Community Plan Medicare Claims Processing System Is Being Upgraded – Effective May 20, 2017 - Date Posted 04.9.2017
- Non-Physician Health Care Professionals Billing Evaluation and Management Codes Policy – Acupuncturist Update - Date Posted 04.07.2017
- Retirement of Moderate Sedation and Physical Medicine and Rehabilitation: Supervised Modalities Policies, and Changes to Procedure to Modifier and IMRT Policies - Effective May and June 2017 - Date Posted 03.02.2017