United Healthcare - Covid19 Policy

[verdengroup]

United Healthcare’s policy on Covid19.

https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19.html

In summary:

• Through June 18, 2020, eligible medical care providers who have the ability and want to connect with their patient through synchronous virtual care (live video-conferencing) can do so. Benefits will be processed in accordance with the member’s plan.
• Primarily, UHC will reimburse for patients to communicate with their doctors using online patient portals, using CPT codes 99421-99423 and HCPCS codes G2061-G2063, as applicable.
• Telemed codes recognized by CMS and appended with modifiers GT or GQ and codes recognized by the American Medical Association (AMA) included in Appendix P of CPT and appended with modifier 95, will be paid. (Reimbursable codes can be found embedded here:
  https://www.uhcprovider.com/content/provider/en/viewer.html?file=%2Fcontent%2Fdam%2Fprovider%2Fdocs%2Fpublic%2Fpolicies%2Fcomm-reimbursement%2FCOMM-Telehealth-and-Telemedicine-Policy.pdf)

Additionally, for commercial and some Medicaid plans, UnitedHealthcare already reimburses appropriate claims for several technology-based communication services, including virtual check-ins, which may be done by telephone, for established patients.

• Until June 18, 2020, UnitedHealthcare will extend this reimbursement to all Medicaid plans.

Billing and Diagnoses Codes can be found here:
https://www.uhcprovider.com/en/resource-library/news/diagnosis-coding-update-covid-19.html

[Beccasusa]

UHC_Telehealth-Patient-Scenarios.pdf (355.5 KB)

• Telehealth Coding Scenarios: This guide has helpful examples of how UnitedHealthcare might reimburse for telehealth services during the national emergency, and we have additional coding and reimbursement guidance available on our 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.