PDF-Moda Health Medical Necessity Criteria

Hyperbaric Oxygen TherapyPage 17Hyperbaric Oxygen TherapyTopical Oxygen TherapyDate of Origin052006Last Review Date05262021Effective Date06012021Dates Reviewed 052008 112009 022011 022012 0. Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, . C-CDI. Manager. Accretive Health. Medical Necessity. Medical Necessity . Fundamental to Medicine. Integral to Revenue Cycle. Basis for healthcare delivery transformation. Pageof For Treatment of Behavioral Health and Substance Use Disorders Revised EditionJune, 2015 Pageof Table of ContentsForewordCore PrinciplesMental Health Treatment for AdultsAcute Inpatient Men Jason Hess, LCAC. Executive Director. Heartland RADAC. How do I get those darned insurance companies to listen?!?. Alternative Title. 4 Essential Elements . to Good Counseling. WEG +. W. armth – Caring, Supportive, Welcoming. An Overview of Key . C. omponents. Presented by . BHM Healthcare Solutions. Learning Objectives. Upon completion of this presentation participants will have a thorough knowledge of Medical Necessity Criteria including emerging definitions. Jason Hess, LCAC. Executive Director. Heartland RADAC. How do I get those darned insurance companies to listen?!?. Alternative Title. 4 Essential Elements . to Good Counseling. WEG . W. armth – Caring, Supportive, Welcoming. Learn more and sign up at modahealthcom/meruMeru Health146s program is available to quali31ed Moda Health members 18 or older who must reside in Oregon Washington or Idaho during their participation M Learn more and sign up at modahealthcom/meruMeru Health146s program is available to quali31ed Moda Health members 18 or older who must reside in Oregon Washington or Idaho during their participation M page 1 of 8Determination for Bariatric Surgery31ese Guidelines for Medical Necessity Determination 147Guidelines148 identify the clinical information that MassHealth needs to determine medical necessi Long-Term PsychotherapyPage 1/4Long-Term PsychotherapyDate of Origin02/10/09Last Review Date09/23/2020Effective Date 10/01/2020Dates Reviewed 05/2011 05/2012 05/2013 05/2014 05/2015 05/2016 07/2017 07 Acupuncture 01/2019Page 1/6AcupunctureDate of Origin06/2004Last Review Date01/27/2020Effective Date 02/01/2021Dates Reviewed 06/2005 06/2006 06/2007 07/2008 01/2001 04/2012 02/2013 01/2014 01/2015 01/ Reduction Mammoplasty Page 1 / 7 Reduction Mammoplasty Date of Origin: 02/1999 Last Review Date: 09/2 2 /202 1 Effective Date: 10/01/ 202 1 Dates Reviewed: 05/1999, 10/2000, 09/2001, 03/2002, 05/20 Page 1 / 3 Factor V Leiden Thrombophilia – F5 Gene Date of Origin: 08/ 2019 Last Review Date: 07/27/2022 Effective Date: 08/01/2022 Dates Reviewed: 08/2019 , 08/2020 , 08/2021 , 07/2022 Develop Genetic Testing Page 1 / 15 Genetic Testing Date of Origin: 10/2003 Last Review Date : 06/22/2022 Effective Date: 07/01/2022 Dates Reviewed: 07/2004, 10/2004, 11/2004, 04/2005, 09/2005, 01/2006, 0 Obstructive Sleep Apnea Surgical Treatment Page 1 / 4 Obstructive Sleep Apnea Surgical Treatment Date of Origin: 07/2002 Last Review Date: 0 2 /2 3 /202 2 Effective Date: 0 3 /01/202 2 Dates Reviewe