Emblem Health Medical Policy Updates – October 2018

Click here to view the Emblem Health (GHI/HIP) Medical Policy Updates »

October 2018 Emblem Health Medical Policy Updates;

• Abdominoplasty/Panniculectomy
• Blepharoplasty
• BRAF Mutation Analysis
• Cardiac Event Monitors
• Chromosomal Microarray Analysis (CMA)
• Cognitive Rehabilitation
• Cryosurgery for Liver Tumors
• Cryosurgical Ablation for Prostate Cancer
• Epidermal Growth Factor Receptor Mutation Analysis for Patients with Non-Small-Cell
• Gene Expression Profile Testing for Multiple Myeloma
• Gene Expression Profiling
• Gene Expression Profiling of Melanomas
• Genetic Counseling and Testing
• Genetic Testing for Cancer Susceptibility
• Genetic Testing for Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) Syndrome
• Genetic Testing for Cystic Fibrosis
• Genetic Testing for Frontotemporal Dementia (FTD)
• Genetic Testing for Hereditary Cardiomyopathy
• Genetic Testing for Hereditary Pancreatitis
• Genetic Testing for Inherited Peripheral Neuropathies
• High Frequency Chest Wall Oscillation Devices and Intrapulmonary Percussive Ventilators
• Home Uterine Activity Monitoring
• Hyperbaric Oxygen Therapy
• Intrathecal Baclofen for CNS Spasticity
• MedTech Database
• Pain Management
• Pancreatic Islet Cell Transplantation
• Peripheral Nerve Blocks
• Phototherapy, Photochemotherapy and Photodynamic Therapy for Dermatologic Conditions
• Radiofrequency Ablation for Spinal Pain
• Stereotactic Radiosurgery and Proton Beam Therapy
• Surgical Correction of Chest Wall Deformities
• Topical Oxygen Wound Therapy (MEDICAID)
• PDF: MG_Home_Pulse_Oximetry_Infants_Children.pdf
• PDF: MG_Obstetric_Ultrasonography.pdf
• PDF: MG_Wireless_Capsule_Endoscopy_b.pdf

Click here to view the Emblem Health (GHI/HIP) 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.