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Nonphysician Practitioners and Scope of Practice

TMA Ask the Expert Virtual Event

August 17th at 1 PM

How to Delegate to Nonphysician Practitioners.

Nonphysician Practitioners and Scope of Practice, a TMA Ask the Expert virtual event, will teach participants how to comply with state laws and regulations on delegating and supervising prescriptive authority. Join Carra Benson, TMA manager of practice management and reimbursement services; Dan Finch, TMA vice president of advocacy; and Julian Rivera, health law partner at Husch Blackwell, on Aug. 17 at noon CT.  

UHC Network Bulletin Overview 8/2021

Your NOTICE of protocol

and policy changes

from UnitedHealthcare

Medical policy updates: August 2021
This month, you’ll find updates for Medicaid, Medicare, Exchange and commercial plans.

Prior authorization and notification requirement updates
We’re making changes to certain advance notification and prior authorization requirements that are available for you in the 2021 Summary of Changes.

Reimbursement policy updates: August 2021
This month, you’ll find updates for Medicaid and commercial plans.

Specialty Medical Injectable Drug program updates: August 2021
See the latest updates to requirements for Specialty Medical Injectible Drugs for UnitedHealthcare members.

Prior authorization code updates for commercial plans
Effective Nov. 1, 2021
, we are adding new codes to the prior authorization list for UnitedHealthcare commercial plans including All Savers, River Valley, Neighborhood Health Partnership, UnitedHealthcare West, MidAtlantic Health Plans

In Accurate Medicare Claim DENIALS!!

Novitas Solutions, the Medicare payer for Texas, announced that a system error has caused the improper rejection of Medicare Part B claims submitted on or after July 6. Physicians who received a claim rejection message should not resubmit claims at this time. Novitas says it is researching a claims processing system fix. TMA is monitoring the problem.

Medicare Claims Improperly Rejected