Medical Policy Updates

Reimbursement Policy Updates For August 23, 2022

Reimbursement Policy Reason for Update
Pricing and Adjudication Principles Content extracted from provider manual and medical policy to clarify related services. Principle 15 added: Blue Cross NC does not reimburse for services related to denied or non-covered procedures or services. Medical Director approved.
Supplies and Equipment Alphabetized Guidelines. Removed medical necessity reference from Compression Garment section for clarity. Removed examples of items not considered gradient compression garments. No change to policy intent.