BCBS Rhode Island Medical Policy Updates – December 2018

Click here to view the Blue Cross Blue Shield Rhode Island Medical Policy Updates »

December 2018 Medical Policy Updates:

•  Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
•  Oral Appliances for Sleep Apnea
•  Prostatic Urethral Lift
•  Psychological and Neuropsychological Testing Eff Jan 1 2019
•  Vestibular Function Tests
• Amniotic Membrane and Amniotic Fluid with New Codes 1.2019
• Autism Spectrum  Disorders  Mandate Effective 1 2019 0
• Axial Lumbosacral Interbody Fusion JAN 2019
• Biofeedback
• Cardiac Hemodynamic Monitoring JAN 2019
• Cardiac Rehabilitation1
• Care Plan Oversight final
• Cooling Devices used in the Home and Outpatient Setting1
• December New Technology
• Early Intervention Services 1
• Electromagnetic Navigation Bronchoscopy with New Code
• Enteral Parenteral Nutrition Therapy 0
• Fracture Care 0
• Gene Expression Profiling and Protein Biomarkers for Prostate Cancer Management1
• Genetic and Protein Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer
• Genetic Testing Services
• Hearing Aid Mandate with new codes 1.19
• Home Health Care Services – Non Skilled   Effective 1 1 2019
• Hyperbaric Oxygen Therapy
• Implantable Sinus Stents for Postoperative Use Following Endo Sinus Surg Rec Sinus Disease1
• Injectable Agents for Asthma and CIU with New Code 1.19 0
• Interspinous Interlaminar Stabilization Distraction Devices Spacers
• January Proprietary Laboratory Analyses %28PLA%29
• Locum Tenens
• Microvolt TWave Alternans Testing
• Noninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease
• Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease 0
• PathfinderTG Molecular Testing1
• Pharmacy Prescription Early Refill
• Physical Therapy Occupational Payment Cap
• Preauthorization of Drug Final
• Preventive Services for Commercial Members 1.2019 0
• Prior Authorization for DME December
• Prior Authorization for Procedures 0
• Removal of Non Covered Implantable Devices JAN 2019
• Respiratory Syncytial Virus Immunoglobulin
• Respiratory Syncytial Virus Immunoglobulin – PREAUTH
• Stereotactic Body Radiation Therapy1
• Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome
• Therapeutic Shoes for Diabetics Mandate with New Code 1.19
• Transesophageal Endoscopic Treatments for Gastroesophageal Reflux Disease
• Vacation Pharmacy Supply
• Vacation Pharmacy Supply 2017
• Whole Gland Cryoablation of Prostate

Click here to view the Blue Cross Blue Shield Rhode Island 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.