The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com:
- Biofeedback
- Claim Filing Requirements for Drugs
- Claim Timely Filing – Inpatient Level of Care Appeals
- Confocal Laser Endomicroscopy
- Cryosurgical Ablation of Miscellaneous Solid Tumors other than Renal, Liver and Prostate
- Digital Health Technologies – Diagnostic Applications
- Digital Health Therapies for Substance Use Disorders
- Electronic Brachytherapy for Nonmelanoma Skin Cancer
- Magnetic Esophageal Sphincter Augmentation to Treat Gastroesophageal Reflux Disease
- Magnetic Resonance Imaging – Guided Focused Ultrasound
- Mastectomy Treatment, Breast Reconstruction and Hospital Stays Mandates
- Medicare Diabetes Prevention Program (MDPP)
- Neural Therapy
- Pelvic Floor Stimulation as a Treatment of Urinary and Fecal Incontinence
- Preventive Medicine and Other Evaluation and Management Office or Other Outpatient Services
- Plugs for Anal Fistula Repair
- Rabies Treatment – Pre and Post Exposure
- Radioembolization for Primary or Metastatic Tumors of the Liver
- Risk Reducing Mastectomy
- Scintimammography and Gamma Imaging of the Breast and Axilla
- Smoking Cessation Mandate
- Sphenopalatine Ganglion Block for Headache
- Stereotactic Body Radiation Therapy
- Surgical and Debulking Treatments for Lymphedema
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.”