CareFirst BCBS Medical Policy Updates – November 2022

Click here to view the CareFirst BCBS Blue Cross Blue Shield Medical Policy Updates »

November 2022 CareFirst BCBS Medical Policy Updates:

• Allergy Testing
• Amniotic Membrane and Amniotic Fluid Grafts and Injections
• ARCHIVED Circulating Tumor Cell Detection in Management of Cancer Patients
• External   Extracorporeal Counterpulsation (ECP or EECP)
• General Anesthesia for Dental Care (Maryland and Virginia Mandates)
• Genetic Testing
• Hyperbaric Oxygen Therapy
• Ingestible pH and Pressure Capsule for Assessing Gastrointestinal Motility
• Intravenous Immune Globulin (IVIG) Therapy
• Magnetic Resonance Imaging (MRI) of the Breast
• Magnetic Resonance Spectroscopy
• Multibiomarker Disease Activity Blood Test for Rheumatoid Arthritis
• Ocular Photoscreening by Primary Physicians to Detect Amblyogenic Disorders
• Oral-Facial Pathology
• Physical Therapy
• Serum Antibody Marker Testing for Inflammatory Bowel Disease
• Sleep Disorders
• Spinal Manipulation Under Anesthesia
• Temporomandibular Joint (TMJ) Dysfunction
• Tesamorelin (Egrifta) Injection for Lipodystrophy
• Total Body Photography for Melanoma Risk Monitoring
• Transcranial Magnetic Stimulation for Treatment of Depression and Other Psychiatric   Neurologic Disorders
• Transient Elastography Ultrasound for Assessing Liver Fibrosis

Click here to view the CareFirst Blue Cross Blue Shield 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.