Madison Hynes of MGMA explained what practice leaders should watch as electronic prior authorization and Medicaid work requirements arrive Jan. 1.
|Articles|September 1, 2008
Finding Payer Policies
I have one payer (UnitedHealthcare) who consistently won’t pay for an office visit and pap on the same date of service. Ladies do not want to have to come back on a different day for me to address their hypertension or allergies or whatever. I’ve not seen a written policy on this from United. Any ideas?
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Question: I have one payer (UnitedHealthcare) who consistently won’t pay for an office visit and pap on the same date of service. Ladies do not want to have to come back on a different day for me to address their hypertension or allergies or whatever. I’ve not seen a written policy on this from United. Any ideas?
Answer: A quick search of
Also, I assume that women don’t come in solely for a pap, but also for a preventive care visit that includes the pap. Look into coding for a full preventive exam, assuming you are doing that, instead of just the pap.
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Medicaid work requirements, new remote monitoring rules and an electronic prior authorization deadline all land Jan. 1, and that's only part of what MGMA told practice leaders to watch.
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