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Geisinger Health Plan November 2017 Medical Policy Updates

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

Medical Policy Updates:

Whats New:

  • MP029 Bone Growth Stim – REVISED – (clarified Exclusion Language)
  • MP170 Gene Expression Profiling for Breast Cancer Treatment – REVISED – (Added EndoPredict test)
  • MP243 Anorectal Fistula Repair Using an Acellular Plug – REVISED – (Added Medicaid Section)
  • MP244 Pelvic Floor Stimulation – REVISED – (Revised member language)
  • MP258 Hyperhidrosis – REVISED – (Added Exclusion)

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;

  • MP020 Transplant Services
  • MP047 Hyperbaric Oxygen Therapy
  • MP050 Surgical Correction of Chest Wall Deformities
  • MP058 Negative Pressure Wound Therapy
  • MP091 Sacral Nerve Stimulation
  • MP159 Voice Therapy
  • MP187 Cryoablation
  • MP197 Janus Kinase 2 (JAK 2) Gene Mutation Analysis
  • MP214 Iontophoresis
  • MP265 Proteomic Serum Analysis
  • MP278 Hyperthermia in Cancer Therapy
  • MP307 Gender Dysphoria and Gender Confirmation Treatment
  • MP311 Genotyping or Phenotyping for Thiopurine Methyltransferase


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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