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Geisinger Health Plan February 2018 Medical Policy Updates

Geisinger Health Plan February 2018 Medical Policy Updates
Geisinger Health Plan Medical Policy Updates

Click here to view the Geisinger Health Plan Medical Policy Updates »

February 2018 Medical Policy Updates:

Whats New:

  • MP063 Acupuncture – REVISED – (clarified Exclusion Language)
  • MP064 Breast Reconstruction – REVISED – (clarified Exclusion Language)
  • MP077 Noninv Mech tx for Back Pain – REVISED – (clarified Exclusion Language)
  • MP168 Non-invasive Testing for Heart Transplant Rejection – REVISED – (clarified Exclusion Language)
  • MP190 X-stop Interspinous Process Decompression System – REVISED – (clarified Exclusion Language)
  • MP250 Bronchial Thermoplasty – REVISED – (clarified Exclusion Language)
  • MP251 Percutaneous Heart Valve Replacement – REVISED – (clarified Exclusion Language)
  • MP318 Sphenopalatine Ganglion Block for Headache – NEW

The following policies have been reviewed with no change to the policy section. Additional references or background information was added to support the current policy;

  • MP006 Nocturnal Enuresis Alarm
  • MP019 Laser Tx of Cutaneous Lesions
  • MP038 Oral Health
  • MP055 Mastectomy for Gynecomastia
  • MP060 Lung Volume Reduction
  • MP073 Deep Brain Stimulation
  • MP083 Contact Lenses
  • MP095 Craniosacral Therapy
  • MP099 Breast Implant Removal
  • MP108 Work Hardening/Conditioning
  • MP119 Therapeutic Listening
  • MP123 HDR Temp Brachytherapy
  • MP126 Massage Therapy
  • MP130 Automated Amb. BP
  • MP138 Lysis Epidural Adhesions
  • MP142 Anodyne Infrared Therapy
  • MP149 Pulsed Electrical Stimulation for Osteoarthritis
  • MP155 Cooling Devices
  • MP169 Retinal Prosthesis
  • MP186 Hip Resurfacing
  • MP191 Mindstreams Cognitive Health Assessment
  • MP205 Advanced Molecular Topographic Genotyping
  • MP210 Endometrial Ablation
  • MP224 Topical Oxygenation
  • MP225 Circulating Tumor Cell Testing
  • MP230 Outpatient Pulmonary Rehabilitation
  • MP262 Microarray Based Gene Expression Testing for Cancer of Unknown Origin
  • MP276 Hearing Aids
  • MP312 Routine Care in Clinical Trials

 

Click here to view the Geisinger Health Plan Medical Policy Updates »

 

Policy Alerts monitors Commercial and Medicare medical policies for changes. While Payers typically update medical policies annually, there are many reasons why a Payer might review or update a policy. When reviews occur out of cycle, they may go unnoticed. Policy Alerts keeps you informed of upcoming and unexpected coverage changes affecting your product. Quickly understanding the changes Payers make can help you adjust reimbursement strategies impacting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on Payer decisions in real-time. Whenever changes occur, email notifications containing a summary of those changes are delivered to your inbox. Clients can access detailed coverage reports and medical policies on the interactive Dashboard portal. Save time and keep focused on the important Payer medical policy reviews and coverage decisions affecting your product!

Policy Alerts takes a client-focused hands-on approach and works hard to provide our customers with helpful insights and actionable analytics over raw data. We understand what our clients need and we are dedicated to making sure we provide timely, accurate and always up-to-date reports that can be used to implement and support a successful reimbursement strategy.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.

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