United Healthcare Commercial Reimbursement Policy Updates (2019)

United Healthcare Commercial Reimbursement Policy Updates (2019)

Looking for the United healthcare physical therapy billing guidelines? The modifier GN, modifier GO or modifier GP will be required on Always for “Therapy codes” to align with the Centers for Medicare & Medicaid Services (CMS). According to CMS, certain codes are “Always Therapy” services regardless of who performs them, and always require a therapy…

New Molecular Pathology Guidelines

New Molecular Pathology Guidelines

The new Molecular Pathology coding guidelines changes will be effective from dates of service on and after Sept. 1, 2019. American Medical Association (AMA) guidance provides Claim Designation codes in the Molecular Pathology coding guidelines Gene Table that represent specific genes that are being tested. UnitedHealthcare will require care providers to append the AMA Claim…