BCBS Hawaii (HMSA) Medical Policy Updates – October 2018

October 2018 BCBS Hawaii (HMSA) Medical Policy Updates:

• Artificial Disc Replacement, Cervical
• Breast Pumps
• Carrier Testing for Genetic Diseases
• Circulating Tumor DNA for Management of Non-Small-Cell Lung Cancer (Liquid Biopsy)
• Codes That Do Not Meet Payment Determination Criteria
• Continuous Glucose Monitoring System
• Corneal Collagen Cross-Linking
• Cytochrome p450 Genotyping
• Durable Medical Equipment, Prosthetics and Orthotics – Small Group & Individual Plans, Fed 87 and QUEST Integration
• Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)
• Genetic Testing for Mental Health Conditions
• Gonal-f (follitropin alfa)
• Heart/Lung Transplant
• High Frequency Chest Wall Oscillation Devices
• Incontinence Supplies
• Intensity Modulated Radiation Therapy (IMRT)
• Intravenous (IV) Hydration Therapy for Adults
• Isolated Small Bowel Transplant
• Liver Transplant
• Low-Molecular-Weight Heparin
• Lung and Lobar Lung Transplant
• Micro-Invasive Glaucoma Surgery (Aqueous Stents)
• Never Events and Hospital-Acquired Conditions
• Observation Services
• Occupational Therapy
• Orthodontic Treatment of Orofacial Anomalies
• Oxygen and Oxygen Equipment
• Payment Transformation
• Payment Transformation Annual Provider Survey
• Physical Therapy
• Pulmonary Rehabilitation
• Reduction Mammaplasty for Breast-Related Symptoms
• Spinal Interventional Pain Management and Lumbar Spine Surgery
• Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy
• Treatment of Hyperhidrosis
• Treatment of Varicose Veins
• Zevalin (Ibritumomab tiuxetan)

Click here to view the Blue Cross Blue Shield Hawaii (HMSA) Medical Policy Updates »

Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real-time. When changes occur, instant email alerts are delivered to your inbox. Clients have access to detailed coverage reports and medical policies through the interactive Policy Alerts Dashboard portal. Save time each month and keep focused on important Payer medical policy reviews and coverage decisions affecting your business!

Policy Alerts takes a client-focused hands-on approach and is constantly working to provide our customers with helpful insights and actionable analytics. We understand what our clients need and are dedicated to providing timely, accurate, and always up-to-date reports.

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. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.