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Geisinger Health Plan Medical Policy Updates – April 2018

Click here to view the Geisinger Health Plan Medical Policy Updates »

April 2018 Medical Policy Updates:

Whats New:

  • MP038 Oral Health
  • MP075 Tissue Engineered Skin Substitutes
  • MP158 Continuous Passive Motion
  • MP236 Immune Cell Function Assay for Transplant Rejection
  • MP245 Helicobacter Pylori Testing
  • MP252 Colon Motility Testing
  • MP261 Aqueous Drainage Shunt
  • MP272 PCA3 and Gene Expression Assays for Prostate Cancer
  • MP273 Gene-based Testing and/or Protein Biomarkers for Diagnosis and Management of Prostate Cancer
  • MP280 Whole Exome Sequencing
  • MP319 Percutaneous Left Atrial Appendage Occlusion
  • MP320 Absorbable Hydrogel Spacer

The following policies have been reviewed with no change to the policy section. Additional references or background information was added to support the current policy.

  • MP025 Transcatheter Closure Devices
  • MP034 Foot Orthotics
  • MP066 ESWT
  • MP068 Reduction Mammaplasty
  • MP078 Sexual Dysfunction Therapies
  • MP090 Inj. Bulking Agents/Incontinence
  • MP092 Imp. Cardiac Loop Recorder
  • MP094 Unilateral Pallidotomy
  • MP106 Ultrasound/ Pregnancy
  • MP112 Wireless Capsule Endoscopy
  • MP113 Electrical Stim Wound Healing
  • MP158 Continuous Passive Motion
  • MP172 MicroVas Vascular Treatment System
  • MP176 Meniett Device
  • MP179 Photodynamic Therapy for Esophageal and Lung Cancer
  • MP189 Computer Aided Detection Technology
  • MP196 Convection-Enhanced Drug Delivery
  • MP209 Medical Error Never Events
  • MP217 Polysomnography and Sleep Studies
  • MP226 Proton Beam Radiation


Click here to view the Geisinger Health Plan 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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