Coverage: This link takes patients to the COVID-19 resources available from UHC.The policy focuses on professional ED claims submitted with a level 5 (99285) E/M code for Medicare Advantage claims. 1, 2020 due to the COVID-19 public health emergency. Medicare Advantage ED Coding Policy delayed: implementation date delayed until Aug.1, 2020 will not be denied for failure to meet timely filing deadlines if submitted through June 30, 2020. Claims with a date of service (DOS) on or after Jan. Extending Timely Filing Guidelines: Extended timely filing deadlines for claims during the COVID-19 public health emergency period for Medicare Advantage, Medicaid, and Individual and Group Market health plans.Submitting Testing: UHC requires "proper office visit E/M code".Note: some self-funded plans will implement a similar plan option, but must opt-in. COVID-19 Treatment: waiving member cost sharing for the treatment of COVID-19 through for its Medicare Advantage, Medicaid plans, Individual and Group Market fully insured health plans.This coverage applies to Medicare Advantage, Medicaid, Individual and Group Market health plan members. COVID-19 Testing-Related Visits: waiving cost sharing for COVID-19 testing-related visits during this same time, whether the testing-related visit is received in a health care provider’s office, urgent care center, emergency department or telehealth visit.Coding & Reimbursement: (Updated May 1 to include coverage for both testing and treatment, timely filing deadlines, and policy delays).
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