[Rainger99]

Originally Posted by CoachKandSportsguy

So, UHC falling back on process, correct, however, UHC has to provide the coding for the provider to be paid in the first place. If UHC is asked by the provider the reimbursement rates by coding, they will still fall back upon on the process for plausible deniability, even though they provided information, maybe with encouragement (need voice recordings for that, though there are defenses for that to insure that they don't get caught).

So per the UHC contract for reimbursement rates, who does provide the codes for the provider to use? certainly UHC or is there a universal standard for procedure codes for everyone to use for each procedure?

I think the AMA created CPT codes.


CPT(R) overview and code approval | American Medical Association