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Aetna dropping some Medicare supplement subscribersPhiladelphia Inquirer
The authors assessed most of the studies as having an unclear risk of bias, which we interpreted as a high-risk of bias. Because of the great number of different comparisons, the average number of included studies in a single comparison was only 1.5 for live birth and 6.1 for clinical preg...
Aetna's policy on parenteral and enteral nutrition is similar to Medicare policy. Medicare provides reimbursement under the part-B prosthetic-device benefit for parenteral and enteral nutrition. Consistent with its policy of covering supplies necessary for use of prosthetics, Medicare will generally cover...
This Clinical Policy Bulletin addresses aldesleukin (Proleukin) for commercial medical plans. For Medicare criteria, see Medicare Part B Criteria. Criteria for Initial Approval Aetna considers aldesleukin (Proleukin) intravenous medically necessary for the treatment of persons with any of the following cond...
National Heritage Insurance Company (NHIC). Neuropsychological testing. Medicare Part B Local Medical Review Policy. Policy No. 02-812-R3. Hingham, MA: NHIC: revised February 2, 2004. Osmon DC, Smerz JM. Neuropsychological evaluation in the diagnosis and treatment of Tourette's syndrome. Behav ...
Aetna's policy on non-spinal electrical stimulation is supported by Medicare policy, which allows non-spinal electrical stimulation for the following indications: nonunion of a long bone fracture, defined as radiographic evidence that fracture healing has ceased for three or more months prior to star...
Policy Scope of Policy This Clinical Policy Bulletin addresses growth hormone (GH) and growth hormone antagonists for commercial medical plans. For Medicare criteria, seeMedicare Part B Criteria. Note: Requires Precertification: Precertification of Somavert is required of all Aetna participating providers...
This CPB is being used to supplement the Medicare NCD and LCDs on intervertebral disc prostheses (LCD L38033, Cervical Disc Arthroplasty; NCD 150.10, Lumbar Artificial Disc Replacement). For cervical intervertebral disc prosthesis for stenosis, this CPB is being used to require radiologic documentation...
This CPB is being used to supplement the Medicare NCD and LCD on peripheral nerve stimulators (NCD 106.7, Electrical Stimulators; LCD L37360, Peripheral Nerve Stimulation and accompanying Article A55531, Billing and Coding: Peripheral Nerve Stimulation). This CPB is used to define indications for...