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Bulletins

See the bulletins below to stay up-to-date on news, policy changes, and other issues important to your practice.

Credentialing Update: Contact the National Credentialing Center at 1-877-842-3210

 

Medical Policy Update Bulletin

UnitedHealthcare Community Plan Medical Policy Update Bulletin

 

Current Bulletins

New Claim Edits for UnitedHealthcare Community Plan and UnitedHealthcare Dual Complete - Effective April 30, 2018 (PDF 96.74 KB) - Date Posted 3.23.2018 

TennCare Managed Care Organization Budget Reduction 1% Buyback (PDF 53.57 KB) - Date Posted 1.5.2018 

TennCare Response to Opioid Epidemic (PDF 104.25 KB) - Date Posted 12.11.2017 

Incontinence Supplier Change for UnitedHealthcare Community Plan Members (PDF 46.17 KB) - Date Posted 9.21.2017

Registering for and Verifying Your TennCare/Medicaid ID (PDF 38.95 KB) - Date Posted 05.05.2017

Episodes of Care Payment Appeals and Instructions (PDF 125.62 KB) - Date Posted 2.01.2017

Revision to Maximum Frequency per Day and Bilateral Procedures Policies for Procedure Codes with Bilateral Surgery Indicator of "2" - Effective February 12, 2017 (PDF 125.62 KB) - Date Posted 1.17.2017

Revision to Lupron Policy - Effective January 1, 2017 (PDF 203.23 KB)

Payment Policy Notifications

New Add-On Code Facility Policy (PDF 740.02 KB) - 3.6.2018 

Reminder: Ambulance Reimbursement Policy Requirements (PDF 759.99 KB) - 3.6.2018 

Important Reimbursement Change to Ambulance Reimbursement Policy (PDF 746.08 KB) - 3.2.2018

New Observation Policy (PDF 742.62 KB) - 3.2.2018

Reimbursement Change for Image Guidance Code 77014 (PDF 763.41 KB) - 2.28.2018

Reimbursement Notice for Multiple Procedure Reduction Codes (PDF 763.17 KB) - 2.28.2018 

Clarification on Our Revenue Codes Requiring Procedure Codes Reimbursement Policy (PDF 742.67 KB) - 2.28.2018 

Reimbursement Change for Prolonged Services Policy (PDF 67.93 KB) - 10.12.2017

Two Place-of-Service (POS) Codes Added to Facility POS Code List in Two Policies (PDF 55.36 KB) - 9.11.2017

Intrauterine Device Supply Policy Changes - Effective Nov. 1, 2017 (PDF 64.66 KB) - 9.11.2017 

New Drug Testing Reimbursement Policy - Effective Sep. 1, 2017 (PDF 70 KB) - 6.19.2017

Changes to Existing Reimbursement Policies (PDF 63.77 KB) - June 16, 2017

UnitedHealthcare Community Plan Medicare Claims Processing System Is Being Upgraded (PDF 39.84 KB) – Effective May 20, 2017                                                                                            

New National Drug Code Requirement Policy – Effective May 1, 2017 (PDF 48.38 KB)  Date Posted 02.24.2017      

Policy Change for the Multiple Procedure Payment Reduction of Diagnostic Imaging Services - Effective January 1, 2017 (PDF 352.93 KB)  Date Posted 12.01.2016 

New Facility Reimbursement Policy-Appropriate Patient Status for Type of Bill Policy - Effective January 1, 2017 (PDF 213.85 KB)  Date Posted 12.01.2016 

Coding Reminder: How to Report Multiple Surgeons For One Operative Session (PDF 366 KB) - 10.31.2016         

Delay in Multiple Procedure Policy Implementation (PDF 432.54 KB) - Date Posted 10.27.2016