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Highmark BCBS

Highmark Blue Cross Blue Shield December 2017 Medical Policy Updates

Click here to the view the Highmark Blue Cross Blue Shield Medical Policy Updates »

December 2017 Medical Policy Updates:

  • Criteria Revised for Diagnosis and Treatment of Obstructive Sleep Apnea for Adults
  • Criteria Revised for Electrical Nerve Stimulation
  • Coverage Criteria Revised for Obesity
  • Revised Criteria for Implantable Pulmonary Artery Pressure Measurement Device
  • Revised Criteria for Coronary Revascularization
  • Coverage Criteria Revised for Transforaminal Epidural Injection
  • Revised Criteria for Transcatheter Aortic Valve Replacement (TAVR)
  • Coverage Criteria Revised for Paravertebral Facet Joint Nerve Blocks
  • Coverage Criteria Revised for Diagnosis and Treatment of Sacroiliac Joint Pain
  • Clarification to Vitamin D Assay
  • Correction: Title and Criteria Revised for Cardiac Computed Tomography (Cardiac CT)
  • Coverage Guidelines for Physical Medicine
  • Coverage Guidelines for Manipulation Services
  • Coverage Criteria Established for Omalizumab (Xolair)
  • New Policy Established for Leadless Pacemakers
  • Correction: Medical Policy I-90, Abatacept (Orencia) IV


Click here to the view the Highmark Blue Cross Blue Shield 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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