№ files_lp_3_process_7_083241
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The document outlines revisions to the Physician Manual for MassHealth, detailing the updated HCPCS/CPT codes for 2018 and the new requirement for prior authorization for knee arthroscopy and knee arthroplasty services.
Year:
2018
Region / city:
Massachusetts
Subject:
Healthcare, Medicaid, Prior Authorization
Document Type:
Official communication
Organization / Institution:
MassHealth
Author:
Daniel Tsai, Assistant Secretary for MassHealth
Target Audience:
Physicians participating in MassHealth
Effective Date:
June 1, 2018
Date of approval:
2018
Date of changes:
June 1, 2018
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Year:
2010
Region / City:
Augusta, Georgia
Subject:
Dual Wave Arthroscopy Pump
Document Type:
Presolicitation Notice
Contracting Office:
Department of Veterans Affairs, VISN 7 Network Contracting Activity
Author:
Damion Peyton
Target Audience:
Contractors, SDVOSB sources
Period of Validity:
Not specified
Approval Date:
March 2010
Date of Changes:
Not specified
Additional Information:
Requires submission via Federal Business Opportunity website
Year:
2017
Region / city:
Not specified
Theme:
Shoulder surgery, thermal capsulorrhaphy
Document type:
Clinical guideline review
Organization:
HSD
Author:
Not specified
Target audience:
Healthcare providers, insurance companies
Period of validity:
Not specified
Approval date:
Not specified
Amendment date:
August 2017
Year:
2022
Region / City:
Not specified
Subject:
Healthcare, Surgery
Document Type:
Medical Guideline
Organization / Institution:
HERC
Author:
Not specified
Target Audience:
Healthcare professionals, policymakers
Effective Period:
May 2022
Approval Date:
May 2022
Change Date:
None
Evidence Source:
Johns 2020, Stewart 2019
Conclusion:
Insufficient evidence of effectiveness for subacromial balloon spacer
Context:
A medical guideline reviewing evidence and recommending HCPCS C9781 for inclusion in unproven interventions due to limited effectiveness data.
Year:
2020
Region / City:
Massachusetts
Topic:
Healthcare, Medicaid, Service Codes, HCPCS, CPT, Telemedicine, COVID-19
Document Type:
Transmittal Letter
Organization / Institution:
Executive Office of Health and Human Services, Office of Medicaid
Author:
Amanda Cassel Kraft, Acting Medicaid Director
Target Audience:
Physicians Participating in MassHealth
Effective Period:
July 2020
Approval Date:
July 2020
Date of Changes:
July 2020
Year:
2016
Region / city:
Tucker, GA
Theme:
Medical Equipment Procurement
Document type:
Solicitation
Agency:
Department of Veterans Affairs
Target audience:
Qualified small business offerors
Validity period:
From publication date until deadline (April 15, 2016)
Approval date:
March 2010
Modification date:
Not provided
Place of performance:
VA Medical Centers
Contracting office:
VISN 7 Network Contracting Office
Contract number:
VA247-16-Q-0496
POC:
Takya Smith, Department of Veterans Affairs, Atlanta VA Medical Center
Contact email:
[email protected]
Additional info:
Requests for Quotes (RFQs) must be submitted via email by the deadline.
Year:
2014
Institution:
Panorama Orthopedics and Spine Center
Author:
Dr. Roger E. Murken
Type of Document:
Medical guideline
Specialty:
Orthopedic surgery
Target Audience:
Patients undergoing subtalar arthroscopy
Procedure Locations:
St. Anthony’s Hospital, Golden Ridge Surgery Center, Ortho Colorado Hospital
Preoperative Instructions:
Medication management, scheduling, pre-payment requirements
Postoperative Instructions:
Pain management, constipation management, anticoagulation therapy (Aspirin or Arixtra)
Date of Issue:
2014-06-13
Year:
2016
Region / City:
Orlando, FL
Theme:
Biomechanics, Orthopaedics
Document Type:
Conference Paper
Organization / Institution:
Orthopaedic Research Society
Authors:
Sueyoshi T, Small SR, Elliot JB, Gibbs GE, Seale RB, Berend ME, Ritter MA
Target Audience:
Medical professionals, researchers in orthopaedics
Period of Activity:
March 5-8, 2016
Date of Approval:
Not specified
Date of Changes:
Not specified
Year:
2026
Region / city:
Not specified
Subject:
Orthopedic surgery, Rehabilitation
Document type:
Clinical guidelines, Rehabilitation protocol
Organization / institution:
Not specified
Author:
Not specified
Target audience:
Healthcare professionals, orthopedic surgeons, physical therapists
Duration of action:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
2021
Region / city:
United States
Topic:
Clinical trial, virtual reality, knee arthroplasty
Document type:
Study protocol
Organization / institution:
Beth Israel Deaconess Medical Center
Author:
BPOG, MD, MPH
Target audience:
Medical professionals, researchers, clinicians
Duration:
Not specified
Approval date:
27-Dec-21
Modification date:
Not specified
Countries of recruitment:
United States
Health condition(s):
Intraoperative sedation
Study type:
Interventional (clinical trial)
Primary outcome:
Intraoperative propofol dose
Secondary outcomes:
Intraoperative and postoperative opioids, intraoperative anesthesia maneuvers, length of PACU stay, postoperative pain, satisfaction with anesthesia, satisfaction with recovery, postoperative delirium, delayed neurocognitive recovery, postoperative neurocognitive disorder, assessment of knee pain and function
Trial identification number:
NCT04748549
Date of registration:
10-Feb-21
Funding source:
Binational Industrial Research and Development (BIRD) Foundation
Study status:
Recruiting
Contact for public queries:
BPOG, MD, MPH ([email protected]
Note:
)
Contact for scientific queries:
BPOG, MD, MPH ([email protected]
Year:
2020
Region / City:
Massachusetts
Topic:
Healthcare, Medicaid, Service Codes, HCPCS, CPT, Telemedicine, COVID-19
Document Type:
Transmittal Letter
Organization / Institution:
Executive Office of Health and Human Services, Office of Medicaid
Author:
Amanda Cassel Kraft, Acting Medicaid Director
Target Audience:
Physicians Participating in MassHealth
Effective Period:
July 2020
Approval Date:
July 2020
Date of Changes:
July 2020
Year:
2023
Region / City:
N/A
Topic:
Orthopedic Rehabilitation
Document Type:
Rehabilitation Protocol
Author:
Dr. Duquin, Christine Ehrensberger
Target Audience:
Patients post-total shoulder arthroplasty, physical therapists
Effective Period:
9-12 months
Approval Date:
N/A
Amendment Date:
N/A
Year:
2026
Institution:
ACAPT
Scenario Type:
Simulation
Discipline:
Physical Therapy, Occupational Therapy, Interprofessional Education
Academic Level:
Intermediate
Content Area:
Orthopedics
Setting:
Acute Care Hospital
Duration:
60 minutes
Patient Age:
53
Patient Condition:
Post-Left Total Hip Arthroplasty
Learner Ratio:
1:2
Objectives:
Generate patient history, administer tests, determine diagnoses, design care plan
Keywords:
Assessment, Total Hip Arthroplasty, Interprofessional Education, Orthopedics, Evaluation, Acute Care, Inpatient, Activities of Daily Living, Lower Extremity, Therapeutic Exercise, Gait, Locomotion
Note:
Year
Organization:
Indian Society of Hip and Knee Surgeons
Fellowship Duration:
6 months or 1 year depending on the institute policy
Eligibility:
Minimum 1-year post-residency experience required
Application Process:
Contact ISHKS Secretary or Fellowship Chair
Certification:
Issued after completion and approval
Research:
Mandatory research project
Industry Involvement:
No direct sponsorship
Review Process:
Fellowship reviewed every 3 years
Year:
2026
Region / Institution:
Orthopedic Research Center, International
Subject:
Orthopedic surgery, radiographic measurement
Document Type:
Scientific table
Authors:
Orthopedic research team
Target Audience:
Orthopedic surgeons, radiologists, medical researchers
Measured Parameters:
FCCA, TCCA, MFTA, TCPT, LFCFEA
Medical Device:
Zimmer Biomet Oxford UKA, Restoris® MCK UKA
Imaging Technique:
Short leg X-rays, coronal and lateral views
End Measurement Notes:
Acute angles measured according to component axes and mechanical alignment
Year:
2026
Region / City:
USA
Theme:
Medical Equipment Codes
Document Type:
List
Organization / Institution:
CMS
Author:
CMS
Target Audience:
Healthcare Providers, Medical Equipment Suppliers
Period of Validity:
Ongoing
Approval Date:
N/A
Revision Date:
N/A
Year:
2022
Region / City:
Not specified
Subject:
Medical coding and documentation
Document type:
Coding portfolio project
Institution / Organization:
Not specified
Author:
Rodney Balbo (patient case)
Target audience:
Healthcare coding students or professionals
Period covered:
Weeks 2–6
ICD-10-CM Codes:
S01.01XA, W18.2XXA, G44.309, I10, R53.83, R40.0, S06.5X0A, Z48.811
CPT Codes:
12002, 99215, 70552, 61312, 61316, 00211, 62146, 62148, 00215
HCPCS Level II Codes:
N/A, A9585
APC Codes:
19991
Procedures described:
Laceration repair, office visit for headache, MRI brain with contrast, craniectomy, cranial bone graft, cranioplasty with autograft
Medical conditions:
Traumatic head injury, brain hematoma, post-traumatic headache, controlled hypertension, drowsiness
Year:
2017
Region / city:
Not specified
Theme:
Shoulder surgery, thermal capsulorrhaphy
Document type:
Clinical guideline review
Organization:
HSD
Author:
Not specified
Target audience:
Healthcare providers, insurance companies
Period of validity:
Not specified
Approval date:
Not specified
Amendment date:
August 2017
Year:
2018
Region / City:
USA
Topic:
Minimally Invasive Percutaneous Interventions for Low Back Pain
Document Type:
Coverage Guidance
Organization / Institution:
HERC
Author:
Evidence-based Guidelines Subcommittee (EbGS)
Target Audience:
Healthcare providers, insurance companies
Effective Period:
January 2018
Approval Date:
1/18/2018
Amendment Date:
N/A
Document sections:
Appendix A; Appendix B
Subject:
Diagnostic and procedure coding for skull base fracture and related conditions
Classification systems:
ICD-9-CM; ICD-10-CM; ICD-10-PCS; CPT-4; HCPCS; NDC; DRG
Conditions included:
Skull base fracture; Facial weakness/paralysis/spasm; Loss of consciousness; Hearing loss; Tympanic membrane rupture; Vertigo/disequilibrium; Cerebrospinal fluid leak
Procedures included:
Facial nerve decompression; Facial nerve repair/reanimation; Static eye procedures; Chemodenervation
Medications included:
OnabotulinumtoxinA; IncobotulinumtoxinA; AbobotulinumtoxinA; RimabotulinumtoxinB; Steroids; Antivirals
Drug routes specified:
Oral; IV; IM; Intra-tympanic
Purpose:
Identification of admissions, inclusion and exclusion criteria, secondary outcomes, and treatments
Type of document:
Medical coding reference appendix
Year:
2020
Region / City:
United States
Subject:
Reproductive Health Care, Family Planning Services
Document Type:
List
Organization / Institution:
American Medical Association (AMA)
Author:
American Medical Association (AMA)
Target Audience:
Healthcare providers, family planning agencies
Period of Validity:
Not specified
Approval Date:
September 2020
Date of Changes:
Not specified