Here are three things to know.
1. Starting Nov. 15, UnitedHealthcare will use CMS special multiple endoscopic resection rules on specific commercial claims.
2. The payer will allow the full allowable amount for the highest valued endoscopy code in the family when multiple procedures from the same family are reported on the same day, according to the report.
3. UnitedHealthcare’s multiple surgery reduction rule will continue to apply to endoscopy codes in different families. In this case, the primary procedure will be reimbursed at 100 percent. A 50 percent reduction is applied to the second procedure, and a 25 percent reduction is applied to all subsequent procedures, according to the report.
Click here to read the full UnitedHealthcare bulletin.
More articles on gastroenterology:
5 GI physicians in the news – Aug. 7, 2015
FDA approves OBERA balloon for obesity treatment
What do gastroenterologists do to relax?
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.