UHC – Delay in Implementation of Revision to Consultation Services

 

Delay in Implementation of the Revision to the Consultation Services Reimbursement Policy. They previously announced that certain revisions to the Consultation Services Reimbursement Policy would become effective for United Healthcare Commercial members on Oct. 1, 2017. In an effort to give care providers more time to adjust to potential changes in their submission of procedure codes for consultation services, United Healthcare will be delaying implementation of the revisions to the Reimbursement Policy for services reported with consultation codes 99241-99245 and 99251-99255.

https://www.uhcprovider.com/content/dam/provider/docs/public/resources/news/2017/network-bulletin/October-Interactive-Network-Bulletin-2017.pdf   (page 3)

CMS rescinded MLN SE17023 which instructed to bill the date of service for the TC component as date collected/performed and the 26 component on the date of interpretation.  This was published on 9-19-17 and rescinded on 10-2-17.  When billing global services, use the date of collection/insertion until further notice.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE17023.pdf