PDF-Moda Health Medical Necessity Criteria

Acupuncture 012019Page 16AcupunctureDate of Origin062004Last Review Date01272020Effective Date 02012021Dates Reviewed 062005 062006 062007 072008 012001 042012 022013 012014 012015 01. 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 Hyperbaric Oxygen TherapyPage 1/7Hyperbaric Oxygen Therapy/Topical Oxygen TherapyDate of Origin05/2006Last Review Date05/26/2021Effective Date06/01/2021Dates Reviewed 05/2008 11/2009 02/2011 02/2012 0 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