Tag Archives | United Healthcare

Physician Practices Examine Risk Adjustment Coding in Wake of Federal Lawsuits

A federal lawsuit claims that UnitedHealth Group, the largest Medicare Advantage insurer in the country, is coding medical claims inappropriately for monetary gain. But while the lawsuit doesn’t involve physician practices, many practices are now paying more attention to risk adjustment coding than ever. At the heart of the UnitedHealth lawsuit is the claim that […]

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Payer Update: UHC Sticks With Consult Codes

Check with Medicaid plans, insurer warns.
You can breathe a sigh of relief — one major payer will stick with 99241-99255.
UnitedHealthcare (UHC) commercial plans will make no change in payment for consultation codes (99241-99255) at this time, according to a UHC e-mail alert. “Physicians may continue to submit claims for these services, and will be reimbursed according to United-Healthcare payment policies”.
Beware: One Medicaid […]

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