Most-Read Revenue Cycle Articles of 2021

UNITED HEALTHCARE WILL DENY OR LIMIT COVERAGE FOR ED COMMERCIAL CLAIMS IT CONSIDERS NON-EMERGENT
The new policy will apply to “commercial fully insured ED facility claims in many states for dates of service on July 1, 2021, or later.”

4 REASONS WHY UNITEDHEALTHCARE’S ATTEMPT TO ‘MONDAY MORNING QUARTERBACK’ ED CLAIMS IS ‘BAD POLICY’
“It really undermines what the physicians are doing at the point of care, and it’s bad policy,” says Doug Wolfe, co-founder and partner of the Miami-based law firm Wolfe Pincavage.

WHAT REV CYCLES NEED TO KNOW ABOUT THE NO SURPRISES ACT
The No Surprises Act goes into effect January 1, 2022, and protects patients from surprise medical bills and establishes an independent dispute resolution process for payers and providers.