Billing Beat

Humana applies multiple procedure payment reductions

July 31, 2014

Humana applies multiple procedure payment reductions (MPPR) to radiology/diagnostic imaging services for technical and professional components. In some cases, Humana currently applies MPPR on a post-payment basis. However, effective Sept. 13, 2014, Humana will begin applying MPPR at the time of initial adjudication or redetermination of professional claims.

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