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United Healthcare August 2017 Medical Policy Updates

United Healthcare August 2017 Medical Policy Updates »

United Healthcare posts July 2017 Medical Policy Updates:

Medical Policy Updates Page

NEW

  • Laser Interstitial Thermal Therapy – Effective Oct. 1, 2017
  • Chemosensitivity and Chemoresistance Assays in Cancer – Effective Sep. 1, 2017
  • Cytological Examination of Breast Fluids for Cancer Screening – Effective Aug. 1, 2017
  • Discogenic Pain Treatment – Effective Aug. 1, 2017
  • Electrical Bioimpedance for Cardiac Output Measurement – Effective Aug. 1, 2017
  • Occipital Neuralgia and Headache Treatment – Effective Aug. 1, 2017
  • Osteochondral Grafting – Effective Sep. 1, 2017
  • Spinal Ultrasonography – Effective Aug. 1, 2017
  • Total Artificial Heart – Effective Aug. 1, 2017

REVISED

  • Apheresis – Effective Oct. 1, 2017
  • Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes – Effective Sep. 1, 2017
  • Functional Endoscopic Sinus Surgery (FESS) – Effective Oct. 1, 2017
  • Neuropsychological Testing Under the Medical Benefit – Effective Sep. 1, 2017
  • Omnibus Codes – Effective Oct. 1, 2017
  • Proton Beam Radiation Therapy – Effective Sep. 1, 2017

 

Medical Benefit Drug Policy Updates

 NEW

  • Brineura™ (Cerliponase Alfa) – Effective Sep. 1, 2017
  • Radicava™ (Edaravone) – Effective Sep. 1, 2017
  • White Blood Cell Colony Stimulating Factors – Effective Sep. 1, 2017

REVISED

  • Clotting Factors and Coagulant Blood Products – Effective Sep. 1, 2017
  • Infliximab (Remicade®, Inflectra™, Renflexis™) – Effective Sep. 1, 2017
  • Repository Corticotropin Injection (H.P. Acthar Gel®) – Effective Sep. 1, 2017

Coverage Determination Guideline (CDG) Updates

UPDATED

  • Home Health Care – Effective Sep. 1, 2017
  • Skilled Care and Custodial Care Services – Effective Sep. 1, 2017

REVISED

  • Durable Medical Equipment, Orthotics, Ostomy Supplies, Medical Supplies and Repairs/Replacements – Effective Oct. 1, 2017
  • Preventive Care Services – Effective Oct. 1, 2017
  • Prosthetic Devices, Wigs, Specialized, Microprocessor or Myoelectric Limbs – Effective Oct. 1, 2017

 

Utilization Review Guideline (URG) Updates

REVISED

  • Office Based Program – Effective Oct. 1, 2017
  • Specialty Medication Administration – Site of Care Review Guidelines – Effective Sep. 1, 2017

 

United Healthcare August 2017 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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