UnitedHealthcare raises bar for doctors to get paid for radiology services - Healthcare Dive

UnitedHealthcare is set to implement a new administrative requirement effective April 1, which requires providers to attach radiology reports when billing for certain services on the same day, specifically for evaluation and management (E/M) services and global radiology codes. This change contrasts with the company's broader efforts to reduce administrative burdens for physicians. The American College of Radiologists indicated that the impact may mostly affect internal medicine physicians rather than radiologists. Tensions persist between healthcare providers and insurers over reimbursement rates and claims processing, with providers arguing that payment levels are inadequate amidst rising healthcare costs. Additionally, Senator Chuck Grassley is advocating for a potential congressional overhaul of Pharmacy Benefit Managers (PBMs) practices, reflecting ongoing scrutiny in the healthcare sector.

Wed, 07 Jan 2026 20:09:42 GMT | Healthcare Dive