Here are the number of cuts UnitedHealthcare is making to its Medicare Advantage prior authorization requirements, broken down by category. See the individual codes being eliminated here.
Effective Sept. 1
Breast reconstruction (non-mastectomy): 18
Hysterectomy: 2
Spin surgery: 2
Vein procedures: 4
Durable medical equipment: 129
Orthotics/prosthetics: 305
Effective Nov. 1
Radiology: 61
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 17–19 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
