Click here to view the Aetna Medical Policy Updates » July 2022 Aetna Medical Policy…
November 19th 2017 updates:
|A54799||2017 Controlled Substance Monitoring and Drugs of Abuse Coding and Billing Guidelines||Palmetto GBA|
|A52370||Bevacizumab (e.g., Avastin™) – Related to LCD L33394||National Government Services, Inc.|
|L33392||Category III CPT® Codes||National Government Services, Inc.|
|L33811 (retired)||Corticotropin||First Coast Service Options, Inc.|
|L36125||MolDX: Breast Cancer Assay: Prosigna||Palmetto GBA|
|A53591||MolDX: TP53 Gene Test Coding and Billing Guidelines||Palmetto GBA|
|A53548||MolDX: VEGFR2 Tests Coding and Billing Guidelines||Palmetto GBA|
|A55653||Parenteral Iron Administration Coverage in Non-Dialysis Usage||Noridian Healthcare Solutions, LLC|
|A55734||Parenteral Iron Administration Coverage in Non-Dialysis Usage||Noridian Healthcare Solutions, LLC|
|A55813||Response to Comments: Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities||First Coast Service Options, Inc.|
|A55808||Response to Comments: Cardiology – non-emergent outpatient testing: exercise stress test, stress echo, MPI SPECT, and cardiac PET||First Coast Service Options, Inc.|
|A55534 (retired)||Response to Comments: Scanning Computerized Ophthalmic Imaging (SCODI)||Palmetto GBA|
|L35139 (retired)||Wound Care||Novitas Solutions, Inc.|
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!
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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.