News & Insights

Payer policy updates, billing and coding changes, and practice management insights — curated for independent specialty practices.

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April 2026

Q2 Kickoff: UHC PCP Referral Enforcement Starts May 1

Nine updates this month, three requiring immediate action. The biggest item: UHC Medicare Advantage HMO referral enforcement begins May 1. Also covered: NC Medicaid WellCare-to-CCH transition, Medicare skin substitute reimbursement changes, and UHC radiology billing policy updates.

9Updates3Action Items5Payers6Specialties

Payer Policy UnitedHealthcare Medicare NC Medicaid Dermatology Orthopaedics Pain Management

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