Monitor Mondays

UnitedHealthcare Poised to Deny ED Claims

June 14, 2021 Ronald Hirsch, MD | Knicole Emanuel Esq. | David Glaser, Esq. | Mary Inman, Esq. | Matthew Albright | John K. Hall, MD, JD Episode 458
Monitor Mondays
UnitedHealthcare Poised to Deny ED Claims
Show Notes

UnitedHealthcare is the latest insurer to join the growing lineup of payors that want to second-guess patients and deny payment for emergency department (ED) services after they’ve been rendered.

As reported here on Monitor Mondays last week, UnitedHealthcare plans to extend no coverage or limited coverage to ED claims, retroactively – including any claims the giant insurer deems non-emergent. Our own Dr. John K. Hall will report on this recent development during the next edition of the Monitor Mondays broadcast, offering tips on how to prepare for the consequences of these denials.

Other segments to be featured during the live broadcast include the following:

  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will return to make his Monday Rounds with another installment of his popular segment.
  • RAC Report: Healthcare attorney Knicole Emanuel, a partner at the law firm of Practus, will file the Monitor Mondays RAC Report.
  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment, reporting on legal implications facing healthcare providers.
  • Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, will report on the latest healthcare regulatory news coming out of Washington, D.C.
  • Court Report: Famed whistleblower attorney Mary Inman, partner at the London office of Constantine Cannon, will return to the broadcast to report on the latest wrinkle in the whistleblower lawsuit launched by Integra Med Analytics. The Department of Justice (DOJ) has intervened in one Integra case against 11 nursing homes.