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Blue Cross Blue Shield Excellus September 2017 Medical Policy Updates

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Click here to view the Blue Cross Blue Shield Excellus September 2017 Medical Policy Updates »

Psychological Testing (PDF) Policy 3.01.02 (posted 9/13/17)

Early Intervention Services (PDF) Policy 10.01.09 (posted 9/13/17)

Breast Reconstruction Surgery (PDF) Policy 10.01.01 (posted 9/13/17)

Medication Assisted Therapy (e.g., Buprenorphine, LAAM, Methadone Maintenance Treatment, Ultra-rapid Detoxification), Opioid treatment (PDF) Policy 3.01.04 (posted 9/13/17)

Durable Medical Equipment (DME) – Standard and Non-Standard, Home Medical Equipment (PDF) Policy 1.01.00 (posted 9/13/17)

Foot Care and Treatment of Mycotic Nails (PDF) Policy 2.01.35 (posted 9/13/17)

Foot Orthotics, Arch Supports, Shoe Inserts (PDF) Policy 1.01.41 (posted 9/13/17)

Enteral Formula/Nutrition, Enteral Therapy, Probiotics, Tube Feeding (PDF) Policy 10.01.03 (posted 9/13/17)

Total Parenteral Nutrition (TPN), Intradialytic Parenteral Nutrition (IDPN), Intraperitoneal Nutrition (IPN), or Hyperalimentation (PDF) Policy 11.01.04 (posted 9/13/17)

Ambulance: Land/Ground (PDF) Policy 10.01.07 (posted 9/13/17)

Disability Determination for Extension of Benefits after Contract Termination (PDF) Policy 10.01.11 (posted 9/13/17)

Handicapped Dependent Coverage (PDF) Policy 10.01.08 (posted 9/13/17)

Medical/Non-Surgical Weight Management Programs and Services, Intensive/High Intensity lifestyle counseling (PDF) Policy 11.01.01 (posted 9/13/17)

Cardiac Rehabilitation (PDF) Policy 8.01.14 (posted 9/13/17)

Cognitive Rehabilitation, Attention Rehabilitation, Sensory Integration Therapy (PDF) Policy 8.01.19 (posted 9/13/17)

Occupational Therapy (OT), Constraint Induced Movement Therapy (CIMT), Gait Analysis, Sensory Integration Therapy, SIT (PDF) Policy 8.01.17 (posted 9/13/17)

Aquatic therapy, Biodex, Cybex, Gait analysis, Hippotherapy, Hydrotherapy, Isokinetic dynamometry, Isokinetic testing, Myowave, Physical therapy, PT, Vibromyography (VMG) (PDF) Policy 8.01.12 (posted 9/13/17)

Speech/Language Pathology and Therapy (e.g., Fast ForWord, Lee Silverman Voice Therapy [LSVT-LOUD™],Vocal Cord Dysfunction, Voice Therapy (PDF) Policy 8.01.13 (posted 9/13/17)

Erectile Dysfunction: Caverject, Edex, ErecAid, Intracavernosal Therapy, Intraurethral Therapy, MUSE (Medicated Urethral System for Erection), Penile Prosthesis, Penile Vein Ligation, Vacuum Erection Device, Vascular Revascularization (PDF) Policy 7.01.30 (posted 9/13/17)

Female Sterilization (e.g., Adiana®, Essure®, Tubal Ligation) (PDF) Policy 4.01.07 (posted 9/13/17)

Click here to view the Blue Cross Blue Shield Excellus September 2017 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.