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Archive August 2023

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HEALTH POLICY NEWS: United Healthcare Nixing Prior Authorization Requirement for SPECT MPI

Last week, United Healthcare (UHC) announced a plan to reduce prior authorization requirements for many procedure codes, including for SPECT MPI (codes 78451-78454), in Medicare Advantage plans. The new policy will go into effect Nov. 1, 2023. 

 

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Aug. 3, 2023 – ADVOCACY ALERT – Analysis: 2024 Proposed Rules Include HOPPS Increases for SPECT and PET, Cut to PET/CT

The ASNC team has analyzed the proposed rules for the 2024 Medicare Physician Fee Schedule (MPFS) and the 2024 Hospital Outpatient Prospective Payment System (HOPPS). ASNC has begun implementing an advocacy strategy for challenging some of the proposals. For details, keep reading. 

 

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