Aetna
Highlights: Changes to Aetna’s National Precertification List (NPL); Medical record documentation standards; Tips for spine and total joint surgery precertification requests
Click the link for more information:
June 2023 OLU newsletter (aetna.com)
Horizon Blue Cross Blue Shield
Highlights: Cardiology Imaging Program Update: July 2023
Click the link for more information:
Cardiology Imaging Program Update: July 2023 – Horizon NJ Health
Humana
Highlights: Changes to preauthorization requirements for medical services Effective July 1, 2023 for all commercial and Medicare Advantage plans and dual-eligible Medicare-Medicaid plans
Click the link for more information:
PowerPoint Presentation (humana.com)
United HealthCare
Highlights: Molecular Pathology Policy Reimbursement to be revised August 1, 2023; Updated requirements and process for gastroenterology services
Click the links for more information:
6/1/2023 – UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: June 2023 (uhcprovider.com)
Updated requirements for gastroenterology services | UHCprovider.com
Updated process for gastroenterology services | UHCprovider.com
Medicare
Highlights: COVID-19 Vaccination and Education Must Remain Available to Staff & Residents of Long- Term Care Facilities as Federal Requirements Sunset
Click the link for more information:
CMS NEWS ROUNDUP (June 2, 2023) | CMS
