UnitedHealthcare will reduce by 50% the technical component payment of multiple imaging procedures reported in the same patient session that are considered second or subsequent, according to a March bulletin published by the insurance giant.
Effective with claims submitted with a date of service on or after June 1, 2011, UnitedHealthcare will adopt the changes in the Centers for Medicare and Medicaid Services (CMS) 2011 multiple imaging reduction payment policy. The changes will apply to all codes that have a CMS multiple procedure indicator of four on the National Physician Fee Schedule (NPFS).
"With this revision, UnitedHealthcare will align with the CMS' multiple imaging payment methodology and treat the services as if they were from a single diagnostic imaging family," UnitedHealthcare said.
