Radiology Business September 4, 2024
Marty Stempniak

The country’s largest commercial health insurer on Sept. 1 revealed details about its new “gold card” program aimed at simplifying prior authorization, with key implications for radiology.

UnitedHealthcare first launched the initiative in early August, recognizing provider groups that “consistently adhere to evidence-based care guidelines.” Practices that earn the designation will see their prior authorization volume drop, instead following a “simple notification process” for eligible current procedural terminology codes.

The Minnetonka, Minnesota-based corporation revealed further details on Sunday, releasing the full tally of impacted services. Over 100 imaging CPT codes make the list, among them, CT of the abdomen without contrast, breast MRI and whole-body PET imaging.

“Prior authorization serves as an important checkpoint to help ensure...

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Topics: Insurance, Payer, Provider, Radiology
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