Current News

News

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
01/03/22

UnitedHealthcare Commercial Updates for January 2022

UnitedHealthcare (UHC) Commercial has updated 2 of their Coverage Determination Guidelines that impact outpatient physical, occupational and speech therapy services as well as habilitative physical, occupational and speech therapy services with an effective date of January 1, 2022. In addition, UHC has issued 1 Reimbursement Policy Update. To access the 3 updated policies, log into your account and then click on the applicable link below. I hope you enjoyed this article. Thank you for being a Gold Member! All material posted on our website is intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted

Read More
12/06/21

UnitedHealthcare Commercial and Oxford Plans Revised Telehealth Policy

UnitedHealthcare (UHC) has revised their professional Telehealth/Telemedicine Policy for their UHC Commercial and UHC Oxford plans. The effective date for the revised policy is January 1, 2022. This revised policy will not only discuss Place of Service (POS) code 02, but also the new POS code 10 that becomes effective January 1, 2022. To access this information, click I hope you found this article to be informative. Thank you for being a Gold Member! All material posted on our website is intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material

Read More
07/01/21

UHC Updates Speech Generating Devices Coverage Determination Guideline

UnitedHealthcare (UHC) Commercial and UHC Oxford have updated their Coverage Determination Guideline for speech generating devices with an effective date of July 1, 2021. To access the updated policy for UHC Commercial, click. To access the updated policy for UHC Oxford, click In addition, UHC Community plan has developed a Coverage Determination Guideline for speech generating devices for the state of Mississippi with an effective date of August 1, 2021. To access this new guideline, click Thank you for being a Gold Member!

Read More