Emblem Health October 2017 Medical Policy Updates

Click here to view the Emblem Health (GHI/HIP) posts July 2017 Medical Policy Updates »

October 2017

• Autologous Chondrocyte Implantation
• Analysis of KRAS Status
• BRAF Mutation Analysis
• Carrier Screening for Parents or Prospective Parents
• Chromosomal Microarray Analysis (CMA)
• Clotting Disorder Therapy
• Cryosurgery for Liver Tumors
• Cryosurgical Ablation for Prostate Cancer
• Gene Expression Profile Testing for Multiple Myeloma
• Genetic Testing for Frontotemporal Dementia (FTD)
• Genetic Testing for Hereditary Cardiomyopathy
• Genetic Testing for Hereditary Pancreatitis
• Gynecomastia Surgery
• Intrathecal Baclofen for CNS Spasticity
• Lyme Disease Diagnosis and Treatment
• Pain Management
• Pancreatic Islet Cell Transplantation for Chronic Pancreatitis
• Rhinoplasty
• Specialty Outpatient Day-Hospital Services
• Surgical Correction of Chest Wall Deformities

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