{"id":8486,"date":"2024-02-26T18:54:32","date_gmt":"2024-02-26T18:54:32","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=8486"},"modified":"2024-02-26T18:54:32","modified_gmt":"2024-02-26T18:54:32","slug":"clinical-review-criteria-4","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/clinical-review-criteria-4\/","title":{"rendered":"Clinical Review Criteria"},"content":{"rendered":"<p>Health New England reviews clinical policies and updates accordingly. These policies reside at <a href=\"http:\/\/healthnewengland.org\/Providers\/Resources\" target=\"_blank\" rel=\"noopener\">healthnewengland.org\/Providers\/Resources<\/a>. Once on the Resources page, click on <em><strong>Behavioral<\/strong><\/em><br \/>\n<em><strong>Health\/Medical Policies<\/strong><\/em> to learn more.<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>The following policies were reviewed:<\/strong><\/span><\/p>\n<p><strong>Drug Testing in Substance Use Disorder treatment and Pain Management<\/strong><\/p>\n<ul>\n<li>Name changed from Drug Testing<\/li>\n<li>Minor changes to criteria<\/li>\n<li>No coding changes<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Varicose Veins and Venous Insufficiency policy (effective 2\/8\/2024)<\/strong><\/p>\n<ul>\n<li>Minor update to the ADL requirement<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Trabecular bone score (effective 4\/1\/2024)<\/strong><\/p>\n<ul>\n<li>77089-77092 for trabecular bone score<\/li>\n<li>No longer Experimental &amp; Investigational<\/li>\n<li>Not be separately payable<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>If you have any questions about the information in this notice, please contact Health New England Provider Experience at (800) 842-4464, extension 5000. A representative is available Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m. You may also send an email to <a href=\"mailto:providerrelations@hne.com\" target=\"_blank\" rel=\"noopener\">providerrelations@hne.com<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Health New England reviews clinical policies and updates accordingly. These policies reside at healthnewengland.org\/Providers\/Resources. Once on the Resources page, click on Behavioral Health\/Medical Policies to learn more. The following policies were reviewed: Drug Testing in Substance Use Disorder treatment and Pain Management Name changed from Drug Testing Minor changes to criteria No coding changes &nbsp; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[92],"tags":[],"class_list":["post-8486","post","type-post","status-publish","format-standard","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-2cS","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8486","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=8486"}],"version-history":[{"count":3,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8486\/revisions"}],"predecessor-version":[{"id":8498,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/8486\/revisions\/8498"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=8486"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=8486"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=8486"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}