UnitedHealthcare Medicare Advantage has revised their “Skilled Nursing Facility, Rehabilitation, and Long-Term Acute Care Hospital” medical policy. This policy applies to private practices as well as other outpatient therapy settings such as hospitals and skilled nursing facilities. The effective date of this revised policy is June 1, 2025. To access the revised policy, click

UnitedHealthcare (UHC) Medicare Advantage has revised their Skilled Nursing Facility, Outpatient Rehabilitation, and Long-Term Acute Care Hospital Medical Policy. In this article, I will answer the following questions:

Article Updated August 13, 2024: UnitedHealthcare (UHC) has announced they are going to require prior authorization for certain outpatient services. In this article, I will answer the following questions:

UnitedHealthcare (UHC) Medicare Advantage (MA) has revised their therapy policy that has implications for skilled nursing facilities, long-term acute care hospitals, and outpatient therapy providers which includes private practices, hospitals, and comprehensive outpatient rehabilitation facilities. The effective date of this revision is August 1, 2024. If you treat UHC MA patients, you need to read this policy. To access the revised policy, click

UnitedHealthcare (UHC)has introduced a comprehensive diagnosis code requirement policy for both professional and facility services. This new policy will combine 3 existing diagnosis policies into this new comprehensive diagnosis policy. The effective date of the new policy is To access this new policy as it applies to UHC Medicare Advantage, click To access this new policy as it applies to UHC Community Plans, click To access this new policy as it applies to UHC Individual Exchange Plans, click

UnitedHealthcare (UHC) Medicare Advantage has a new reimbursement policy that could have an impact on outpatient therapy claims billed on a 1500-claim form as well as the UB-04 claim form. In this article, I will provide the answers to the following questions:

UnitedHealthcare Medicare Advantage has updated their coverage summary for speech generating devices. To access the updated coverage summary for speech generating devices, click

UnitedHealthcare (UHC) Medicare Advantage has updated their OT, PT, and ST Coverage Policy. The effective date of the updated coverage policy is May 4, 2022. To access the updated policy, click