Site Activity
This page provides a monthly listing of publication activity on the Medical Policy Portal including Policy Notifications, New Policies, Updated Policies, Coding Updates, Reissued Policies, and Archived Policies. To view publication activity from prior months, select Past Site Activity.

Past Site Activity
 
                                                                                                        

Notifications
The following Independence Blue Cross Medicare Advantage policies have been posted prior to their effective date.
MA00.050, Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services
Notification: 08/01/2019 | Effective: 09/01/2019 | Posted: 08/01/2019
Type of policy change: This is a new policy.

MA09.002j, High-Technology Radiology Services
Notification: 08/16/2019 | Effective: 11/10/2019 | Posted: 08/16/2019
Type of policy change: Medical Necessity Criteria


New Policies
The following Medicare Advantage policies have been newly developed to communicate coverage and/or reimbursement positions, reporting requirements, and other processes and procedures for doing business with Independence Blue Cross.
MA05.066, Cranial Electrotherapy Stimulation
Notification: 07/12/2019 | Effective: 08/12/2019 | Posted: 08/12/2019
Type of policy change: This is a new policy.

MA08.108, Polatuzumab Vedotin-Piiq (Polivy™)
Effective: 08/26/2019 | Posted: 08/26/2019
Type of policy change: This is a new policy.

MA00.050, Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services
Notification: 08/01/2019 | Effective: 09/01/2019 | Posted: 08/30/2019
Type of policy change: This is a new policy.


Updated Policies
The following Medicare Advantage policies have been reviewed and updated to communicate current coverage and/or reimbursement positions, reporting requirements, and other procedures for doing business with Independence Blue Cross.
MA10.008d, Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD)
Effective: 08/19/2019 | Posted: 08/19/2019
Type of policy change: Coverage and/or Reimbursement Position; Medical Coding

MA00.033g, Services Paid Above Capitation for Health Maintenance Organization (HMO) and Health Maintenance Organization Point-of-Service (HMO-POS) Primary Care Providers
Effective: 08/19/2019 | Posted: 08/19/2019

MA00.010v, PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services
Effective: 08/19/2019 | Posted: 08/19/2019
Type of policy change: Coverage and/or Reimbursement Position

MA08.049f, Paclitaxel Protein-Bound Particles for Injectable Suspension (Albumin-bound)/(Abraxane® for Injectable Suspension)
Effective: 08/26/2019 | Posted: 08/26/2019
Type of policy change: Medical Necessity Criteria; Medical Coding


Reissue Policies
The following Medicare Advantage policies have been reviewed, and no substantive changes were made.
MA11.098, Migraine Deactivation Surgery
Reissue Effective: 07/31/2019 | Reissue Posted: 08/01/2019

MA11.005c, Deep Brain Stimulation (DBS)
Reissue Effective: 07/31/2019 | Reissue Posted: 08/01/2019

MA05.045a, Compression Garments
Reissue Effective: 08/14/2019 | Reissue Posted: 08/15/2019

MA00.041, National Correct Coding Initiative (NCCI) Code Pair Edits
Reissue Effective: 08/14/2019 | Reissue Posted: 08/15/2019

MA07.009f, Routine Foot Care for Certain Medical Conditions
Reissue Effective: 08/14/2019 | Reissue Posted: 08/15/2019

MA07.012a, External Counterpulsation (ECP)
Reissue Effective: 08/28/2019 | Reissue Posted: 08/29/2019










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