Blue Cross of Mich. Reverses Decision

Blue Cross of Mich. Reverses Decision

Blue Cross Blue Shield (BCBS) of Michigan is delaying their planned non-coverage of hyaluronic acid injections for knees, slated for April 1.

BCBS Pulls Up

BCBS giving themselves time to study if hyaluronic acid has the true medical benefit that it claims to have for patients with painful arthritic deterioration. Many patients swear by the treatments, stating they had been ready for total knee replacements when they tried the hyaluronic acid injections as a “Hail Mary” to delay the total knee arthroplasty procedures. Those who have felt relief from hyaluronic acid injections swear their joints have been given new life without going through with the painful and physical therapy intensive total knee replacement procedures.
This anecdotal evidence has been a cause for many facing total knee replacements with options they wish to try before going through the brutal alternative, a total knee replacement. Patients want to try hyaluronic acid to see if it will provide them the benefits their friends or colleagues achieved.
However, studies will continue to be performed and there will be increased scrutiny as to the medical effectiveness of hyaluronic acid as a knee joint lubricant. Keep fighting and show your legislatures, insurance company representatives and your patients the positive results that your patients are enjoying positive outcomes from hyaluronic acid injections so that this service will continue to be covered and assist patients who are not quite ready to have a total knee replacement quite yet.

Barbara Cobuzzi

About Has 104 Posts

Barbara J. Cobuzzi, MBA, CPC, CENTC, COC, CPC-P, CPC-I, CPCO, AAPC Fellow, is an independent consultant, CRN Healthcare Solution, Tinton Falls, N.J. She is consulting editor for Otolaryngology Coding Alert and has spoken, taught, and consulted widely on coding, reimbursement, compliance, and healthcare-related topics nationally. Barbara also provides litigation support as an expert witness for providers and payers. Cobuzzi is a member of the Monmouth, N.J., AAPC local chapter.

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