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Gawenda Seminars

Seminars and Consulting

The Path to More Completed Plans of Care: Can It Be as Simple as Your Front Desk?!

Join us for our webinar “The Path to More Completed Plans of Care: Can It Be as Simple as Your Front Desk?!” on August 26, 2020. This webinar will teach you how, by optimizing your Front Desk, you can improve your entire practice. Click HERE for further details and to register.

UnitedHealthcare

July 2020 Telehealth Updates

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With the Secretary of the Department of Health and Human Services extending the Public Health Emergency (PHE) due to the COVID-19 pandemic, many private practices as well as facilities and organizations want to know what does this mean for the extension of providing outpatient therapy services via telehealth. In this article, I will provide updates on outpatient therapy services delivered via telehealth for the traditional Medicare Part B program and some of the larger national insurance carriers.

Medicare (Traditional)

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Aetna

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Anthem BCBS of Colorado

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Anthem BCBS of Connecticut

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Anthem BCBS of Georgia

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Anthem BCBS of Indiana

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Anthem BCBS of Kentucky

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Anthem BCBS of Maine

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Anthem BCBS of Missouri

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Anthem BCBS of Nevada

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Anthem BCBS of New Hampshire

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Anthem BCBS of Ohio

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Anthem BCBS of Virginia

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Anthem BCBS of Wisconsin

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BCBS of North Carolina

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Cigna

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CareFirst BCBS

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Florida BCBS

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HighMark BCBS for OH, PA and WV

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Horizon BCBS

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Humana

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Premera BCBS for Alaska

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Premera BCBS for Washington

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Regence BCBS

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UnitedHealthcare Telehealth for Individual and Fully Insured Group Market

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UnitedHealth Medicare Advantage

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Wellmark BCBS

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UnitedHealthcare Updates Telehealth for PT, OT and SLP

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UnitedHealthcare has provided updates on outpatient physical, occupational and speech therapy services delivered via telehealth.

Telehealth for Medicare Advantage

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Telehealth for Individual and Fully Insured Group Market

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Virtual Check-Ins and E-Visits for Medicare Advantage

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Virtual Check-Ins for Individual and Fully Insured Group Market

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E-Visits for Individual and Fully Insured Group Market

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In addition to all of the above important information, click

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and read all about outpatient physical, occupational and speech therapy services delivered via telehealth.

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UnitedHealthcare Oxford Updates Therapy Policies

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UnitedHealthcare Oxford has revised its clinical policy for “Outpatient Physical and Occupational Therapy”. The effective date of this revision is July 1, 2020. This policy applies to all Oxford membership excluding New Jersey Small Plan membership.

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In addition, UnitedHealthcare Oxford has revised its clinical policy for Physical, Occupational, and Speech Therapy Including Cognitive/Neuropsychological Rehabilitation for New Jersey Small Group Members with an effective date of July 1, 2020. This policy applies to Oxford NJ Small plan membership.

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UnitedHealthcare Extends Telehealth Deadline Once Again

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Extending Telehealth Deadline
On June 16, 2020, UnitedHealthcare (UHC) announced they will extend telehealth coverage through

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UnitedHealthcare Community Plan Revises Cognitive Rehabilitation Policy

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UnitedHealthcare (UHC) Community Plan has revised their Cognitive Rehabilitation medical policy for the state of Tennessee with an effective date of June 1, 2020.

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UnitedHealthcare Extends Telehealth Coverage Timeframe

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UHC has provided updated information on the extension of telehealth services. Click HERE for the latest update from UHC on the extension of providing outpatient therapy services delivered via telehealth.

UnitedHealthcare’s expansion of telehealth services to include outpatient physical, occupational and speech therapy services was due to expire on June 18, 2020. Due to the continued COVID-19 Public Health Emergency, UnitedHealth (UHC) will now cover outpatient physical, occupational and speech therapy delivered via telehealth until

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