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United Healthcare (UHC)

United Healthcare December 2017 Medical Policy Updates

Click here to view the United Healthcare Medical Policy Updates »

December 2017 Medical Policy Updates

Updated Policies
  • Cardiovascular Disease Risk Tests
  • Electrical and Ultrasound Bone Growth
  • Epidural Steroid and Facet Injections for Spinal
  • Femoroacetabular Impingement
  • Molecular Oncology Testing for Cancer Diagnosis, Prognosis, and Treatment
  • Occipital Neuralgia and Headache
  • Prolotherapy for Musculoskeletal Indications
Revised Policies
  • Balloon Sinus Ostial Dilation
  • Epiduroscopy, Epidural Lysis of Adhesions and Functional Anesthetic Discography
  • Functional Endoscopic Sinus Surgery (FESS)
  • Hearing Aids and Devices Including Wearable, Bone-Anchored and Semi-
  • Omnibus Codes
  • Proton Beam Radiation Therapy
  • Surgical and Ablative Procedures for Venous Insufficiency and Varicose Veins
  • Transcatheter Heart Valve Procedures
  • Vagus Nerve Stimulation


Medical Benefit Drug Policy Updates

New Policies
  • Alpha1-Proteinase Inhibitors
  • Ilaris® (Canakinumab)
  • Review at Launch for New to Market Medications
Revised Policies
  • Somatostatin Analogs


Coverage Determination Guideline (CDG) Updates

Updated Policies
  • Breast Reduction Surgery –
  • Clinical Trials
  • Cosmetic and Reconstructive Procedures
  • Gynecomastia Treatment
  • Home Health Care
  • Orthognathic (Jaw) Surgery
Revised Policies
  • Blepharoplasty, Blepharoptosis and Brow Ptosis Repair
  • Durable Medical Equipment, Orthotics, Ostomy Supplies, Medical Supplies and Repairs/Replacements
  • Habilitative Services for Essential Health Groups
  • Infertility Services
  • Preventive Care Services
  • Rehabilitation Services (Outpatient)


Utilization Review Guideline (URG) Updates

Revised Policies

  • Site of Service Guidelines for Certain Outpatient Surgical Procedures
  • Specialty Medication Administration – Site of Care Review Guidelines


Click here to view the United Healthcare 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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