Posted in Training, Updates

UHC Oxford- updated Prior Auth changes 01/01/2023

Starting 01/01/2023 Oxford will add and remove certain codes that require prior authorizations (commercial line of business).

According the Oxford this change helps align their processes with evidence-based clinical guidelines.


Some of the new codes that will be added are:

For a full list of new codes that will be added to the list of codes that require prior authorization, please click here.


In addition Oxford is also adding a new provider tool, the UnitedHealthcare Oxford plan Prior Authorization Requirements document, it will become available as of Dec. 1, 2022, on the Advance Notification and Clinical Submission Requirements page.

Providers are encouraged to use this tool where they will be able to find/research codes that require prior authorization as well as request an auth.


Would you like to learn more: please click here, for the Applicable Oxford Commercial policies.


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#medicalcoding, #medicalbilling, #priorauthorization, #cardiology, #uhc, #oxford

Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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