UnitedHealthcare Medicare Solutions

January 25, 2013
Rick Gawenda

Effective Jan. 1, 2011, the Centers for Medicare and Medicaid Services (CMS) initiated a new multiple procedure payment reduction policy to reduce the practice expense portion of certain physical, occupational and speech/language therapy procedures by 20 percent in the priavte practice setting, when these procedures are the secondary and/or subsequent procedures reported on a single date of service for the same patient. The policy applies to procedures identified with a Multiple Procedure (MP) indicator 5 on the CMS National Physician Fee Schedule.

UnitedHealthcare Medicare Solutions will align with CMS and implement the new Multiple Therapy Reduction Policy, effective with claims reported with a date of service on and after Aug. 1, 2012. To read the full story, click

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