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May 2018 Medical Policy Updates:
- Carrier Testing for Genetic Diseases – Effective Ju1. 1, 2018
- Hepatitis Screening – Effective Jun. 1, 2018
- Intrauterine Fetal Surgery – Effective May 1, 2018
- Macular Degeneration Treatment Procedures – Effective Jun. 1, 2018
- Molecular Oncology Testing for Cancer Diagnosis, Prognosis, and Treatment Decisions – Effective Jul. 1, 2018
- Occipital Neuralgia and Headache Treatment – Effective Jun. 1, 2018
- Prolotherapy for Musculoskeletal Indications – Effective May 1, 2018
- Transpupillary Thermotherapy – Effective May 1, 2018
- Gastrointestinal Motility Disorders, Diagnosis and Treatment – Effective Jun. 1, 2018
- Manipulative Therapy – Effective Jun. 1, 2018
Medical Benefit Drug Policy Updates:
- Crysvita® (Burosumab-Twza) – Effective May 1, 2018
- Benlysta® (Belimumab) – Effective May 1, 2018
- Entyvio® (Vedolizumab) – Effective May 1, 2018
- Radicava™ (Edaravone) – Effective May 1, 2018
- Vaccines – Effective May 1, 2018
Coverage Determination Guideline (CDG) Updates:
- Cosmetic and Reconstructive Procedures – Effective Jun. 1, 2018
- Gynecomastia Treatment – Effective May 1, 2018
- Ambulance Services – Effective Jun. 1, 2018
- Durable Medical Equipment, Orthotics, Ostomy Supplies, Medical Supplies and Repairs/Replacements – Effective Jun. 1, 2018
- Preventive Care Services – Effective Jun. 1, 2018
Utilization Review Guideline (URG) Updates
- Site of Service Guidelines for Certain Outpatient Surgical Procedures – Effective May 1, 2018
Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.
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