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BCBS Hawaii (HMSA)

Blue Cross Blue Shield Hawaii (HMSA) November 2017 Medical Policy Updates


November 2017 Medical Policy Updates available for comment:

Provider Input Solicited for Annual Policy Review Submit Comments Before:
Afirma Thyroid FNA Analysis 12/01/2017
Anesthesia for Gastrointestinal Endoscopy Procedures 12/01/2017
Breast Pumps 12/01/2017
Bronchial Thermoplasty 12/01/2017
Cardiac Related Procedures (NIA) 12/01/2017
Colorectal Cancer Screening 12/01/2017
Complementary and Alternative Medicine 12/01/2017
Continuous Glucose Monitoring System 12/01/2017
Genetic Testing – Oncology 12/01/2017
Genetic Testing for Hereditary Breast and/or Ovarian Cancer 12/01/2017
Genetic testing including chromosomal microarray analysis and next generation sequencing panels, for evaluation of development delay/intellectual disability, autism spectrum disorder, and/or congenital anomalies 12/01/2017
High Frequency Chest Wall Oscillation Devices 12/01/2017
Incontinence Supplies 12/01/2017
Insulin Pumps – External 12/01/2017
Intensity Modulated Radiation Therapy (IMRT) 12/01/2017
Knee Orthoses for Osteoarthritis 12/01/2017
Low-Molecular Weight Heparin 12/01/2017
Negative Pressure Wound Therapy (NPWT) 12/01/2017
Never Events and Hospital-Acquired Conditions 12/01/2017
Observation Services 12/01/2017
Polysomnography and Sleep Studies 12/01/2017
Positive Airway Pressure and Oral Devices for the Treatment of Obstructive Sleep Apnea 12/01/2017
Post-acute and Residential Treatment Facility Stays 12/01/2017
Post-acute, Residential Treatment Facility and Community Care Foster Family Home Care 12/01/2017
Precertification Requirements – Akamai Advantage Plans 12/01/2017
Preventive Health Guidelines – Men 12/01/2017
Preventive Health Guidelines – Women 12/01/2017
Pulmonary Rehabilitation 12/01/2017
Radiology Guidelines for Advanced Imaging Studies 12/01/2017
Repetitive Transcranial Magnetic Stimulation for Treatment Refractory Depression 12/01/2017
Spinal Interventional Pain Management and Lumbar Spine Surgery (NIA) 12/01/2017
Telehealth Services 12/01/2017
Tilt Table Testing 12/01/2017



Click here to view the Blue Cross Blue Shield Hawaii (HMSA) November 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.

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