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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.

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