On February 15, the firm will require service providers throughout its entire network to obtain prior notification for CT, MRI, and PET scans, as well as MR angiography and nuclear medicine studies, including nuclear cardiology.
The decision was based on UnitedHealthcare's concern for patients who are subject to preventable radiation exposure, the company said. It referred its members to its Web site for more information on the change.
'Gatekeeper effect' key to RBMs' ability to slow imaging use, December 3, 2009
Physician self-referral: Scourge or service? November 3, 2009
Tracking outpatient imaging reimbursement? Watch for these trends, June 10, 2009
RBM firm RadMetrics goes beyond preauthorization, April 21, 2009
Does new OIG opinion create preauthorization loophole? October 7, 2008
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