Category: Business
Reimbursement Policy Update Bulletin: UHC March 2021
UHC releases revised reimbursement policies for: Outpatient Hospital, Laboratory Services and Emergency Department E/M.
Directory Update
POET’s Physician Directory and Provider Roster have been updated. Follow the links to view, print or download.
Select CoVid-19 Temporary Cost Share Wavers are Extended. UHC Feb. 26, 2021
To continue to meet your needs through the evolving COVID-19 health emergency, UnitedHealthcare is extending select COVID-19 treatment cost share waivers, which are summarized below. We also continue to make ongoing updates to our COVID-19 billing and reimbursement guidance with the latest information, including giving providers a way to look up member Medicare ID numbers when submitting COVID-19 vaccine administration claims to the Centers for Medicare & Medicaid Services (CMS) Medicare Administrative Contractor (MAC).
Deadline to Comply with Information-Blocking Rule
Starting April 5, all practices must comply with so-called information-blocking rules that are part of the federal 21st Century Cures Act, which is designed to facilitate widespread access and sharing of health information among patients and physicians. Follow this link to view the TMA article.
21st Century Cures Act: Interoperability and Information Blocking Webinar: Free for TMA members and their clinical staff, this webinar will help you develop plans to prepare your practice to implement the information-blocking rule. The webinar has been accredited for 1.25 AMA PRA Category 1 Credits™
Link Recommended by MGMA Regarding Telehealth
CCHP helps you stay informed about telehealth-related laws, regulations and Medicaid programs. The map and search options below cover current laws and regulations for all fifty states and the District of Columbia. The information provided is only for research and informational purposes and should not be construed as legal counsel. Please consult with an attorney if you are seeking a legal opinion. To view the full report, visit the 50 State Report PDF.
*Please note that for the most part, states continue to keep their temporary telehealth COVID-19 emergency policies siloed from their permanent telehealth policies. These temporary policies are not included in the Fall 2020 report. In instances where the state has made policies permanent, CCHP has incorporated those policies into this interactive map tool.
Improve Your Appeal Efforts
“Know the Law When Managing Claim Denials for Better Appeals”
Medical denials and appeals can be an expensive and time-consuming. Sharpen your skills with this article from MGMA.
Self-Pay Medicare Beneficiary
Protect Your Patient… Protect Your Practice… Protect Yourself
When a Medicare Beneficiary wants to pay out of pocket?
Check out these documents, located in POET InK files:
Stay informed about COVID-19
Patients look to you to help them make the most informed health care decisions. We know your patients have a lot of questions about the COVID-19 vaccines – from their safety and effectiveness to where they can get a vaccination and more.
We’ve pulled together resources to help guide your patient conversations, direct them to vaccination locations in their area and reinforce the importance of continuing to wear masks.
Use the Vaccine Resource Locator
UnitedHealthcare has developed a ZIP-code tool to help members find FDA-authorized vaccine resources near them. The resources include information on who can get a vaccine, where vaccines are being given, how to schedule an appointment to get a vaccine and how to sign up for alerts.
Answer questions about the vaccine
Your patients are likely asking many questions about the COVID-19 vaccines. They look to you to help them make sense of what they’re hearing in the news and what they should consider in deciding whether or when to get vaccinated. We’ve gathered resources from the American Medical Association (AMA) and the Centers for Disease Control and Prevention (CDC) – the organizations you trust most to provide reliable information – in one spot for easy reference. You’ll find sample scripts to use with patients as well as news articles with information to help answer patient questions about the COVID-19 vaccines.
Encourage mask wearing
Even with COVID-19 vaccinations, it’s important that everyone continue to wear masks, social distance and wash hands frequently. We’ve partnered with the American Medical Association to help promote their “Mask Up” campaign and provide flyers and other materials that you can use in your office and on social media to remind patients about the importance of masking up. These resources may be particularly helpful for health care professionals located in states without mask mandates.
Check out Mask UP
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