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02/10/25

Speech Therapy Services Not Reimbursed by UnitedHealthcare

UnitedHealthcare (UHC) Commercial and UHC Individual Exchanges has published a list of CPT codes that are not reimbursed if billed by a speech-language pathologist. To access this list, log into your account and click

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01/10/25

UnitedHealthcare Medicare Advantage Prior Authorization January 2025 Update

UnitedHeathcare (UHC) Medicare Advantage has updated the prior authorization process for outpatient physical, occupational, and speech therapy services. In this article, I will answer the following questions:

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09/23/24

UnitedHealthcare Revises Cognitive Rehabilitation Medical Policy

UnitedHealthcare has revsied their Cognitive Rehabilitation policy. In this article, I will answer the following questions:

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09/16/24

UnitedHealthcare’s Gold Card Program

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

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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

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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:

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08/05/24

UnitedHealthcare to Require Prior Authorization

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:

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08/01/24

UHC Medicare Advantage Revised Therapy Policy

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

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