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Geisinger July 2017 Medical Policy Updates

Geisinger Health Plan posts July 2017 Medical Policy Updates effective August 15, 2017 »


“What’s New” Medical Policy Updates July 2017

MP45 Chest Percussion Vest – REVISED – (Revised Indications)
MP136 Alternative Medicine Therapies – REVISED – (Revised Exclusions)
MP174 Exhaled Nitric Oxide – REVISED – (Added Indications; Revised Exclusions)
MP201 Obstructive Sleep Apnea – REVISED – (Revised Criteria; Added Exclusions)
MP271 Non-Invasive Testing for Fetal Aneuploidy – REVISED – (Revised Indications; Added Limitations; Added Exclusions)
MP156 Robotic Assisted Prostatectomy – RETIRED POLICY

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:


MP03 Ocular Photodynamic Therapy
MP17 Ambulance Transport
MP74 Interactive Metronome Training
MP84 Stereotactic Radiosurgery
MP89 Evaluation of Breast Ductal Lavage
MP110 Uterine Artery Embolization
MP124 Transpupillary Thermotherapy
MP134 Gastric Electrical Stimulation
MP140 Automatic Implanted Defibrillator/CRT-D with Attachment
MP141 Biventricular Pacemaker
MP144 Vitamin B12 Injection Therapy
MP152 Low Level Laser Therapy
MP203 Radiofrequency Ablation Therapy for Barrett’s Esophagus
MP216 Quantitative EEG (QEEG)
MP306 Tumor Treatment Fields


Geisinger Health Plan posts July 2017 Medical Policy Updates effective August 15, 2017 »


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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