Updates on Coverage Policies, Webinars and Presentations

Medical Coverage Policies for August, September, October and November

Humana’s medical coverage policies are based on evidence published in peer-reviewed medical literature, technology assessments obtained from independent medical research organizations, evidence-based consensus statements and evidence-based guidelines from nationally recognized professional health care organizations.

Information about medical coverage issues can be found on Humana.com.
Click http://www.humana.com/providers/tools/provider_tools
/clinical_healthcare.asp and then choose "Medical Coverage Policies." The medical coverage issues can be reviewed by name as well as revision date. You may also search for a particular issue using the search box. More detailed information may be found by reviewing “Reading a coverage issue” and “Understanding the Process.”

Below are the new and revised polices:

New Policies

• Temporomandibular Joint Disorders (TMJ/TMD)
  
• In Vitro Chemoresistance and Chemosensitivity Assays
  
• Spinal Fusion Surgery (Cervical and Lumbar)
  
• Spinal Ultrasound
  
• Actinic Keratoses Treatments
  
• Treatment of Benign Prostatic Hypertrophy
  
• Ultrasound Therapy for Chronic Wound Treatment

Policies with Significant Revisions

• Acupuncture
  
• Allergy Treatment
  
• Cardiovascular Disease (CVD) Risk Testing (Laboratory)
  
• Clinical Trials
  
• Cochlear Implants
  
• Colorectal Cancer Screening
  
• Continuous Glucose Monitoring Systems
  
• Continuous Positive Airway Pressure
  
• Electrical Stimulators for Pain
  
• Erectile Dysfunction/Penile Prosthesis/Vacuum Devices
  
• Facet Denervation
  
• Functional Electrical Stimulators
  
• Genetic Testing and Genetic Counseling for Disease Risk
  
• Genetic Testing and Genetic Counseling for Carrier Screening
  
• Genetic Testing and Genetic Counseling for Diagnosis and Monitoring of Cancer
  
• Genetic Testing and Genetic Counseling for Diagnosis and Monitoring of Non-Cancer
• Indications
  
• Genetic Testing and Genetic Counseling for Prenatal Diagnostic Testing
  
• Insulin Pumps
  
• Joint Resurfacing Arthoplasty
  
• Neuromuscular Stimulators
  
• Pharmacogenomics
  
• Reduction Mammoplasty
  
• Sleep Studies
  
• Stereotactic Radiosurgery
  
• Surgical Treatment of Obstructive Sleep Apnea
  
• Ventricular Assist Devices
  
• Mobility Assistive Devices (Wheelchairs)

Presentations Seek to Make Your Job Easier

Humana’s “Education on Demand” tool provides you and your office staff with quick, easy-to-understand presentations on topics that should make it easier for you to do business with us.

To access any of these presentations, click http://www.humana.com/providers/tools/provider_tools/
education_on_demand.asp. If your computer does not have a sound card or is not configured for streaming audio, you can listen to these presentations over the telephone while viewing the slides on your screen. To begin the telephone playback process, follow these steps:

• Click on the question mark in the bottom right corner
  
• Select “Player Settings” from the pop-up box
  
• Check “Use telephone playback with standard player”
  
• Click the “Submit” button
  
• A window will open displaying the telephone number and access code that you need to dial to receive the audio
  

Available presentations are as follows:

• Online Prior Authorization Tool
  
• HumanaAccess^SM Visa^® Debit Card
  
• RadConsult Online
  
• SmartSummary^SMRx

For more information, visit Humana.com.

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