Unitedhealthcare Commercial Reimbursement Policy Update Bulletin: April 2024

Molecular Pathology Policy Professional and Facility

• UnitedHealthcare previously communicated a new Molecular Pathology Policy, Professional and Facility in the January 2024 Network News, effective April 1, 2024 UnitedHealthcare is delaying the effective date of the policy until June 1, 2024, in order to allow additional time for providers to integrated Z-codes into their claims processes.

Home Health Services Policy, Professional

• Effective for dates of service on or after July 1, 2024, UnitedHealthcare will implement the new Home Health Services Policy, Professional.
• In alignment with CMS, home health services billed in place of service 12 will not be reimbursed if the date(s) of service overlap with an inpatient stay. The date span criteria will exclude the date of admission and discharge.

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/rpub/UHC-COMM-RPUB-April-2024.pdf