DECEMBER 2021

90-day notices and important reminders We regularly adjust our clinical, payment and coding policy positions as part of our ongoing policy review processes. Our standard payment policies identify services that may be incidental to other services and, therefore, ineligible for payment. We re required to notify you of any change that could affect you either financially or administratively at least 90 days before the effective date of the change. This change may not be considered a material change in all states. Unless otherwise stated, policy changes apply to both Commercial and Medicare lines of business.

necessity criteria prior to authorizing services in the hospital outpatient setting. An advanced imaging procedure at a hospital outpatient site is considered medically ... • there are no other appropriate alternative sites for the individual to undergo the imaging ... • Initiate a National Comprehensive Cancer Network® (NCCN®) regimen ...

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  Network, National, Criteria, Comprehensive, Imaging, Appropriate, Cancer, Nccn, National comprehensive cancer network

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