As of July 1, 2021, United Healthcare (UHC) reviews Medicare Advantage and commercial claims for sepsis-related treatment on a pre-payment basis as well as its current post-payment review. Payer policy changes, such as this, can have a lasting impact on a hospital system’s revenue cycle and it is important to be knowledgeable about updates, changes, and potential repercussions.
In this educational webinar, attorneys Megan Kelly and Alisha Mays will discuss the potential impact of UHC’s pre-payment clinical review of sepsis-related treatment and share revenue cycle mitigation steps to tackle denials and boost appeal resolution for sepsis-related claims.
