Understanding MPPR and Its Impact on Your Payment

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Gawenda

This 1-hour webinar will teach participants what the multiple procedure payment reduction (MPPR) policy is, how MPPR is applied to the CPT codes by the Medicare contractor, how to calculate the MPPR reduction, and how MPPR impacts all therapy disciplines provided the same date of service by the same practice or organization.

UHC Oxford Revises MPPR Policy

UnitedHealthcare (UHC) Oxford has revised their Multiple Therapy Procedure Reduction (MTPR) reimbursement policy with an effective date of December 1, 2021. In this policy, UHC Oxford lists the practice expense (PE) relative value unit (RVU) of each applicable CPT code so therapy providers will know which CPT code has the highest PE RVU and thereby will know the first unit of that code will not have their PE RVU decreased by 50%. Providers will then know which other CPT codes billed that day will have their PE RVU decreased by 50%. To access the revised policy, click