Category: Uncategorized
UnitedHealthCare Network News
Effective Feb. 4, 2022, UHC will no longer print and mail paper provider remittance advice (PRAs) for medical claims to network health care professionals.
UHC has updated their codes for the Outpatient Procedure Grouper (OPG) mapping. They have deleted 30 old codes and added 31 new codes. For more information follow this link.
Beware of X-Ray Scam
POET has been asked by a physician to make everyone aware of X-Ray destruction scam that is re-appearing.
Please protect yourself and do your homework before doing business with anyone.
POET Apology
POET had some issues with the Ink site last week. Hopefully they have all been resolved.
Aetna, No Longer Paying Office Consult
*ALERT*
Starting March 1, 2022, Aetna will no longer pay office consultation codes 99241 – 99245
*ALERT*
MGMA, Update on the Court Cases Involving CoVid-19 Vaccination Mandates.
Per Claire Ernst J.D., Government Affairs Director MGMA
“I wanted to provide a quick update on the court cases involving the COVID-19 vaccination mandates. As many of you have seen, both the OSHA vaccination and testing emergency temporary standard (ETS) and the CMS facilities vaccination mandate were quickly challenged in court. Below is a quick overview of where the mandates currently stand – this is subject to change:
- OSHA vaccination and testing ETS: On Nov. 12, 2021, the U.S. Circuit Court of Appeals for the Fifth Circuit granted a motion to stay (or halt) the ETS. After that decision, OSHA suspended enforcement pending future developments in the litigation. More information about OSHA’s announcement can be found on the ETS landing page. The U.S. Court of Appeals for the Sixth Circuit now has jurisdiction over the challenges and will issue its decision. However, it is certainly possible that following the Court’s ruling, the decision could get appealed to the U.S. Supreme Court.
- CMS facilities vaccination mandate: On Nov. 30, 2021, the U.S. District Court for the Western District of Louisiana issued a preliminary injunction halting the mandate. The ruling comes one day after the U.S. District Court for the Eastern District of Missouri halted implementation of the rule for 10 states. Together, the decisions apply to all states. However, this decision is likely to get appealed as well.
MGMA will continue to monitor this evolving situation and provide updates.”
Thank You
We here at POET would like to say THANK YOU, to all who have served.
OOPS!! Cigna MA Letter ERROR
Apparently a letter went out to some Cigna members that was supposed to be alerting them that the contract with the CHS hospital (WHMC) is being terminated. There was an error in the letter because it stated “Your doctor is leaving the network”. This has caused a flurry of concern and confusion in some areas, as you might imagine. A corrected letter, further clarifying that the entity being terminated is the hospital and not the physician, is expected to go out Oct. 5th.
UHC No Longer Sending PRAs by Mail
PRAs (Provider Remittance Advice) will go paperless by region starting Nov. 12.
Please review this map for effective dates and exclusions by geographical region.
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