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BCBS of Kansas Medical Policy Update
Title: Facet Joint Denervation (Cervical and Lumbar) POLICY Current Effective Date: October 1, 2016 A. Thermal radiofrequency denervation of cervical facet joints (C2-3 and below) and lumbar facet joints is considered … Continue reading
CMS Physician CY 2017 Proposed Changes
Physician Fee Schedule: Proposed CY 2017 Changes Medicare also expands the Diabetes Prevention Program On July 7, CMS proposed changes to the Physician Fee Schedule to transform how Medicare pays … Continue reading
KMAP Budget Reduction
Please be aware, there is a 4% balanced budget reduction in effect for KMAP effective with DOS on /after July 1. abinsights Contact Information abinsights readers are invited … Continue reading
ABN – NON-COVERED SERVICES
Are you getting ABNs (Advanced Beneficiary Notices) signed when needed? An Advanced Beneficiary Notice (ABN) is necessary when you think a service may be denied by a payer, or you … Continue reading
Medicare PQRS Reporting Option Changes
Medicare PQRS IMPORTANT Changes in Reporting Options January 1, 2016 In reporting your PQRS Measures, most of you have chosen the claims based reporting option. This has allowed ABI to … Continue reading
Noridian Medicare Lumbar Epidural Injections Fluoroscopy Required
Lumbar Epidural Injections – Noridian Medicare As we suspected last year, refining coverage guidelines for Lumbar Epidural Injections now require the use of fluoroscopic or CT guided imaging. Some highlights … Continue reading
WPS Medicare Epidural and Transforaminal Epidural Injections Fluoroscopy Required
Epidural and Transforaminal Epidural Injections – WPS Medicare As we suspected last year, refining coverage guidelines for Epidural and Transforaminal Epidural Injections now require the use of fluoroscopic or CT … Continue reading
BCBS of Kansas Medical Policy Update
Title: Regional Nerve Block and General Anesthesia Current Effective Date: November 6, 2015 DESCRIPTION Regional nerve blocks are a form of pain management lasting 10 to 12 hours depending … Continue reading
CMS – Trigger Point, Local Injections
Date: 2015-11-01 Contact: CMS Local Coverage Determination (LCD) #L34588 Coverage Indications, Limitations, and/or Medical Necessity Myofascial trigger points are self-sustaining hyper-irritative foci that may occur in any skeletal muscle … Continue reading
CMS – Sacroiliac Joint Injections
Date: 2015-11-01 Contact: CMS Local Coverage Determination (LCD) #L34443 Coverage Indications, Limitations, and/or Medical Necessity The sacroiliac (SI) joint is formed by the articular surfaces of the sacrum and … Continue reading