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United Healthcare March 2018 Medical Policy Updates

United Healthcare March 2018 Medical Policy Updates

Click here to view the United Healthcare Medical Policy Updates »

March 2018 Medical Policy Updates

UPDATED

  • Bone or Soft Tissue Healing and Fusion Enhancement
  • Collagen Crosslinks and Biochemical Markers of Bone Turnover
  • Cytological Examination of Breast Fluids for Cancer Screening
  • Manipulation Under Anesthesia
  • Platelet Derived Growth Factors for Treatment of
  • Proton Beam Radiation

REVISED

RETIRED

  • None

 

Medical Benefit Drug Policy Updates

NEW

  • Denosumab (Prolia® & Xgeva®)

UPDATED

  • Actemra® (Tocilizumab) Injection for Intravenous
  • Orencia® (Abatacept) Injection for Intravenous

REVISED

  • None

 

Coverage Determination Guideline (CDG) Updates

UPDATED

  • Blepharoplasty, Blepharoptosis and Brow Ptosis Repair
  • Breast Reduction Surgery
  • Panniculectomy and Body Contouring Procedures Rhinoplasty and Other Nasal Surgeries

REVISED

  • Orthognathic (Jaw) Surgery
  • Preventive Care Services
  • Speech Language Pathology Services

 

Utilization Review Guideline (URG) Updates

UPDATED

  • Immune Globulin Site of Care Review Guidelines for Medical Necessity of Hospital Outpatient Facility Infusion

REVISED

  • Chemotherapy Observation or Inpatient Hospitalization
  • Inpatient Pediatric Feeding Programs
  • Office Based
  • Propranolol Treatment for Infantile Hemangiomas: Inpatient
  • Specialty Medication Administration – Site of Care Review Guidelines

REVISED

  • Hospital Readmissions

 

Click here to view the United Healthcare 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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