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UnitedHealthcare Reimbursement Policy Update

Posted Mar 26, 2021

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As of March 1st, 2021, UnitedHealthcare has made several updates to their reimbursement policy for Advanced Practice Health Care Providers. The previous policy change was made on April 13th, 2020 when the word “Commercial” was added to the policy header. 

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Medical Coding Healthcare News Billing & Reimbursement

CMS Finalizes Major Cut in Radiology Reimbursement

Posted Feb 19, 2021

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After some delay due to the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) has released the final set of guidelines that will govern the Medicare payment system for 2021. The rule for the Medicare Physician Fee Schedule (MPFS) was proposed earlier last year, and since then, slight revisions have been made including an improvement in the conversion factor and a change to the Quality Payment Program (QPP) performance threshold. 

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Radiology Medical Coding Healthcare News Billing & Reimbursement

HIS Coding Updates

Posted Mar 12, 2020

HIS Coding Updates

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Medical Coding

Updated QPP Tools Now Eligible for Practice Use

Posted Aug 28, 2018

What are QPP Tools?

QPP stands for Quality Payment Program. The Quality Payment Program was designed to improve Medicare by helping physicians focus on the quality of care over service volume. Prior to 2015, physicians were reimbursed on a fee-for-service model. In 2015, QPP was introduced, bringing a two track value-based reimbursement system to replace the existing system.

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