August Bulletin – National Coverage Determination Updates

National Coverage Determination Updates Effective October 1, 2022, there will be several updates to the National Coverage Determination (NCD) guidelines that are implemented by the Centers for Medicare & Medicaid Services (CMS). The following NCDs are being updated to include changes for the 2023 fiscal year: NCD 150.3 Bone Density Studies NCD 160.18 Vagus Nerve […]

June Bulletin – UnitedHealthcare Updates

UnitedHealthcare Updates UnitedHealthcare released plan updates for June 2022.  All plan updates can be found here: UnitedHealthcare Community Genetic testing for hereditary cancer Cardiovascular disease risk tests More than a dozen medication updates UnitedHealthcare Commercial Macular degeneration treatment procedures Ambulance services Liposuction for lipedema UnitedHealthcare Medicare Advantage Cardiac procedures, including pacemakers and defibrillators Urinary and […]

April Bulletin – Google’s AI System Focuses on Healthcare

Google’s AI System Focuses on Healthcare In late March of 2022, Google announced that a new Artificial Intelligence (AI) program is focused on the treatment of cardiovascular conditions and the improvement of maternal health. Previously, Google created an AI system called ARDA that supports diabetic retinopathy screenings. This system is able to screen up to […]

April Bulletin – Insurance Updates

Insurance Updates Centers for Medicaid and Medicare Services (CMS) CMS updated and released a draft of the National Coverage Determinations (NCD) Guidelines for the Alzheimer’s disease treatment drug, Aduhelm. The coverage limitations could create challenges for those seeking treatment. The NCD process began in July of 2021 and at the time, the drug was highly […]

March Bulletin – Insurance Company Updates

Insurance Company Updates Several insurance companies have made note-worthy updates to their billing policies. Superior HealthPlan Effective June 1, 2022, the criteria for the assessment and treatment of Attention Deficit Hyperactivity Disorder (ADHD) has been revised and updated. More than a dozen CPT codes have been deemed not medically necessary when billed with a sole […]