1/Let’s be very clear about @UHC —for nearly 10 yrs I have chaired @ACEPNow Reimbursement Committee Work Group 2 charged w/ monitoring & addressing “bad payor” issues; for the,past +5 yrs nearly every month #UHC final diag. lists that down-pay/down-code….beckerspayer.com/payer/team-hea…
2/ blatant violations of federal & state prudent lay person laws w/ their Medicaid plans, non-compliant coding policies vs. AMA CPT stds. (Standards mandated by HIPAA regs.) & now policies set for 8/1/22 requiring FAXED medical records for E&M service w/ the -25 modifier…..
3/So these @UHC policies do not differentiate in ownership models, e.g. small, medium & large groups—the policies impact all EM docs while as just noted #UHC posts yr after yr record profits & revenue >; robust debate about group structures—sure but let’s not turn that into a ….
4/ “circular firing squad”— one man’s opinion—see my pinned tweet
above:
above:
5/ Let’s end this w/ #FridayMirth—after tweeting about the #UHC & @Cigna policies weeks ago requiring “faxed” records when the -25 modifier is used, one of the docs said “Nothing says denial of reimbursement like requiring faxed records in the modern era.” LOL
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