United Healthcare - New Guidance Sent Out This Week
To help you manage the claim submission and reimbursement process with UnitedHealthcare, as well as access the CARES ACT funding available to health care professionals, here’s a summary of resources to address your most common questions and concerns. Use this list of quick links as an easy reference to save you time.
Telehealth Coding Scenarios: This guide has helpful examples of how UnitedHealthcare might reimburse for telehealth services during the national emergency. UHC also released additional coding and reimbursement guidance available on their website.
Expanded Telehealth Access: Policies around telehealth have been expanded across all of our health plans.
Timely Filing: Claims with a date of service on or after Jan. 1, 2020 will not be denied for timely filing deadlines if submitted by June 30, 2020.
Videos to Help Guide Billing: Two videos are available for easy visual instruction on billing for COVID-19-related office visits and laboratory tests.
Prior Authorization Requirements: Many requirements have been suspended or eased during the national emergency period. Review specific details and dates here.
CARES Act Training: UnitedHealth Group has been selected to facilitate delivery of CARES Act Provider Relief funding through the U.S. Department of Health and Human Services (HHS). This user guide will help you navigate the HHS provider portal, and this quick tutorial outlines what you need to know to request or confirm additional relief funding.
Medicare
CMS announced that it is reevaluating the amounts that will be paid under its Accelerated Payment Program and suspending its Advance Payment Program to Part B suppliers effective immediately. The agency made this announcement following the successful payment of over $100 billion to healthcare providers and suppliers through these programs and in light of the $175 billion recently appropriated for healthcare provider relief payments.
For more information on the CARES Act Provider Relief Fund and how to apply, visit here.
For an updated fact sheet on the Accelerated and Advance Payment Programs, visit here.
States Resuming Elective Surgeries
Becker’s Healthcare is keeping a running list of states as they announce plans to resume elective surgeries. Is your state on here? Bookmark the list here.
Paycheck Protection Program Updates
An SBA loan that helps businesses keep their workforce employed during the Coronavirus crisis has resumed as of April 27, 2020. The SBA has started accepting Paycheck Program applications from participating lenders. If you're a small business, look into applying here or contact your local bank.