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 […]

July Bulletin – CPT Code Updates Coming Fall 2022

CPT Code Updates Coming Fall 2022 Effective 10/1/2022, more than 300 new ICD-10-PCS codes will go into effect. The updates include 331 new codes and 64 code deletions. Among them are new technology codes, including a code for computer-assisted transcranial magnetic stimulation of the prefrontal cortex. The 2023 fiscal year (FY) updates are available for […]

July Bulletin – COVID-19 CPT Code Updates

July Bulletin – COVID-19 CPT Code Updates In mid-May, the U.S. Food and Drug Administration (FDA) approved use of the Pfizer-BioNTech COVID-19 vaccine booster for children ages five through eleven. The CPT code to be used for this booster is: 0074A – Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) […]

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 […]

June Bulletin – COVID-19 Vaccine Updates

COVID-19 Vaccine Updates On June 17, 2022, the Food and Drug Administration (FDA) authorized COVID-19 vaccines for children as young as 6 months old. The Centers for Disease Control and Prevention (CDC) approved the vaccine for children under five a day later, making approximately 20 million children eligible for daycare or preschool. Both the Moderna […]

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 […]