Current News

News

09/16/24

UnitedHealthcare’s Gold Card Program

In this article, I will answer the following questions regarding UnitedHealthcare’s Gold Card Program:

Read More
09/09/24

UHC Community Plan Revises Outpatient Therapy Policy

UnitedHealthcare (UHC) Community Plan has revised their outpatient therapy policy. Summary of changes include the following: To access the revised policy, click

Read More
08/26/24

UnitedHealthcare Optum Healthcare Solutions to Require Prior Authorization

UnitedHealthcare (UHC) Optum Healthcare Solutions will begin to require prior authorization for follow-up outpatient therapy visits for certain plans. In this article, I will answer the following questions:

Read More
07/01/24

UnitedHealth Updates Outpatient Therapy Policy – Again!

UnitedHealthcare (UHC) has once again updated their outpatient physical, occupational, and speech therapy habilitation and rehabilitation policy. In this article, I will answer the following questions:

Read More
05/06/24

UnitedHealthcare Introduces a Diagnosis Code Requirement Policy

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

Read More
07/26/23

UnitedHealthcare Updates Outpatient Therapy Medical Policy: August 2023

UnitedHealthcare (UHC) has once again revised their Habilitation and Rehabilitation Therapy (Occupational, Physical and Speech) revised medical policy with an effective date of August 1, 2023. The revised policy impacts all UHC Commercial plans and UHC Oxford. The only revision to this revised policy compared to the July 1, 2023 revision is UHC has

Read More
05/01/23

UHC Medicare Advantage June 2023 Reimbursement Update

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:

Read More
06/01/22

UnitedHealthcare Medicare Advantage Updates Therapy Coverage Policy

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

Read More