Billing Beat

UHC: Revision to the Radiology Multiple Imaging Reduction Policy

July 29, 2013

UnitedHealthcare currently applies an imaging reduction to the technical component of secondary and subsequent eligible diagnostic imaging services provided to the same patient during the same session by the same physician or health care professional. To further align with CMS, UnitedHealthcare will change the Radiology Multiple Imaging Reduction Policy (RMIR) to administer the technical component reduction for secondary and subsequent diagnostic imaging services when provided on the same patient during the same session by the same group practice. Same group practice will be identified as all physicians or health care professionals reporting the same federal tax identification number. This change will be effective fourth quarter of 2013.

Source: https://www.unitedhealthcareonline.com

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