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United Healthcare to Implement CCI Edits

United Healthcare to Implement CCI Edits

On February 7, United Healthcare (UHC) published updated reimbursement policies indicating that effective with dates of service on or after May 1, 2020, UHC will “align with the CMS National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) edits for outpatient claims submitted on the CMS UB04 claim form or its electronic equivalent.” This policy applies to UHC Commercial plans, and includes outpatient PT, OT, and SLP services provided in non-private practice settings.

For more information, access the provider bulletin here.

Holly Hester

Holly Hester is Casamba’s Senior Vice President of Compliance & Education, as well as the Compliance Officer. She provides regulatory guidance and interpretation, clinical programming and content development, education and training steerage, and compliance support for the company. As a physical therapist for more than 20 years, Holly has multi-venue clinical and management experience, giving her a unique perspective on the integration of compliance and training with therapy service delivery and clinical practice.
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