Medicare Advantage and the Saga of Scrutiny Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP December 4, 2019 Read More »
BREAKING: UnitedHealthcare Sepsis-3 Criteria Not Being Used for Auditing Claims from New York Hospitals Chuck Buck January 16, 2019 Read More »
Sepsis, OIG Audit of MA Plans, and Inpatient Admission Policies: More Audit Anxiety Ronald Hirsch, MD, FACP, CHCQM, CHRI October 3, 2018 Read More »
United Healthcare ED Changes Impact Level 4 and Level 5 Services Timothy Powell, CPA CHCP March 21, 2018 Read More »
News Alert: UHC Plans Automatic Downgrade of ED Facility Codes Ronald Hirsch, MD, FACP, CHCQM, CHRI December 4, 2017 Read More »
Breaking: UnitedHealthcare Appears to Delay Eliminating Consultation Codes Shannon Deconda, CPC, CPC-I, CEMC, CMSCS, CPMA® October 4, 2017 Read More »
UnitedHealthcare’s Modifier SA: Audit Problems Are Lurking Shannon Deconda, CPC, CPC-I, CEMC, CMSCS, CPMA® September 27, 2017 Read More »
UnitedHealthcare Eliminates Consult Codes as a Reimbursable Service Shannon Deconda, CPC, CPC-I, CEMC, CMSCS, CPMA® August 16, 2017 Read More »
Former UnitedHealth Finance Director Files Bombshell Whistleblower Lawsuit as HCC Issue Looms May 17, 2017 Read More »
