UnitedHealthcare has announced they will begin enforcing the application of Excludes 1 guidelines across all claim types to include outpatient and professional claim types. This will include outpatient therapy services. To learn about Excludes 1 and diagnosis coding, read this article. The effective date of UHC enforcing the application of Excludes 1 guidelines is

UnitedHealthcare (UHC) has revised their outpatient physical, occupational, and speech therapy policy. Revisions include the following: To access the revised policy, click

Are you a speech-language pathologist (SLP)? Does your practice or organization provide speech therapy services? If you are answered yes to either question, you will want to read this article. UnitedHealthcare (UHC) Community Plan has published a list of CPT codes that are not reimbursable if billed by a SLP. To access this list, log into your account and click

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) 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

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:

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

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