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On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.

Provider Notification: Dialysis Payment Policy

Date: 04/18/23

Dear Provider, 

Thank you for your continued partnership with Ambetter from Absolute Total Care. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. We are writing today to inform you of new policies Ambetter from Absolute Total Care will be implementing effective on or after 06/01/2023.
 

Policy NameDescriptionLines of Business
Dialysis Payment PolicyBased on CMS guidelines, hemodialysis service (90999) hemodialysis (CPT 90999) will be denied when a modifier (G1-G6) is not present on the claim. Interim claim bill type ending in XX2 or XX3 will be denied when discharge status 30 is not present on the claim.
 
Medicare Claims Processing Manual – Chapter 1, Chapter 8
 		Marketplace

 
If you have any questions about this or any of our payment policies, please don’t hesitate to reach out to our Provider Services team at 1-833-270-5443. Thank you for your continued participation and cooperation in our ongoing efforts to render quality health care to our members. We look forward to helping you provide the highest quality of care for our members.

Sincerely,

Ambetter from Absolute Total Care