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1 de mayo de 2020

Policies recently reviewed for annual update

The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com.

  • After Hours and Special Services and Reports
  • Allergy and Immunotherapy Services
  • Anastomosis of Extracranial-Intracranial Arteries
  • Auditory Brain Stem Implant
  • Automated Testing Devices
  • Autologous Platelet-Derived Growth Factors
  • Behavioral Health Inpatient and Intermediate Levels of Care
  • Benign Skin Lesions and Viral Infectious Lesion Removal
  • Biofeedback
  • Breast Pumps-Hospital Grade
  • Buprenorphine Implant for Treatment of Opioid Dependence
  • CA 125
  • Care Plan Oversight
  • Cochlear Implants
  • Coding and Payment Guidelines
  • Confocal Laser Endomicroscopy
  • Constraint-Induced Movement Therapy
  • Cranial Electrotherapy Stimulation and Auricular Electrostimulation
  • Dynamic Posturography
  • Electromagnetic Navigation Bronchoscopy
  • Evaluation of Hearing Impairment or Loss
  • Hyperbaric Oxygen Therapy
  • Home Health Service – Non-Skilled
  • Home Health Services – Skilled
  • Long Term Acute Care Hospital Admission and Transition of Care Criteria
  • Médicamente necesario
  • Medicare Diabetes Prevention Program (MDPP)
  • Minimally Invasive Coronary Artery Bypass Graft Surgery
  • Post-Partum Hospital Stays Mandate
  • Post Payment Audits
  • Risk Reducing Mastectomy (Formally Prophylactic Mastectomy)
  • Serum Tumor Markers for Breast and Gastrointestinal Malignancies
  • Steroid-Eluting Sinus Stents
  • Surgical Deactivation of Migraine Headache Trigger Points
  • Surgical Ventricular Restoration
  • Telemedicine/Telehealth Medical Policy
  • Temporary Prostatic Stent
  • Vestibular Function Tests
  • Wig Mandate

We also post monthly drafts of medical policies being created or reassessed for your review. As a reminder, you can provide comments on draft policies for up to 30 days. Draft policies are located on the Provider homepage, under the Medical Policies section, under the drop-down “Draft Medical Policies."