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Roger J. Beal
Roger J. Beal
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  • Paula Woletz

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Robert Vranes, DPM replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
BCBS Diagnostic Ultrasound Policy Reversal I have been informed of the following policy change by Dr. Allan Chernov, Medical Director of BlueCrossBlueShield of Texas: "The Medical Policy Medical Directors (MPMDs) of Health Care Service…
Feb 1, 2010
Robert Vranes, DPM replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
Ms. Woletz, Below is a copy of the letter that I sent to Dr. Chernov @ BCBSTX in November 2009. I have yet to receive a response. This letter was written from a podiatric perspective. It offers a spirited discussion and refutation of BCBS's…
Jan 20, 2010
Paula Woletz replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
Thanks for the information. I've attached a copy of the letter that just went out. Paula
Jan 20, 2010
Robert Vranes, DPM replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
I suggest that AIUM president Harvey Nisembaum send a copy of his letter to Allan Chernov, MD, Medical Director of BCBSTX, and who also oversees the medical directors for Illinois, Oklahoma and New Mexico. Dr. Chernov may be contacted…
Jan 19, 2010
Paula Woletz replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
AIUM president Harvey Nisembaum just sent a letter to the head of medical affairs for the imaging management company that authored the MSK policy for Blue Cross Blue Schield of Texas, Illinois, and other states. In that letter, he wrote that while…
Jan 19, 2010
Robert Vranes, DPM replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
BCBSTX is part of a consortium including Illinois, New Mexico and Oklahoma. In November 2009, the reclassified Nonoperative Spinal/Paraspinal Ultrasound in Adults AND MSK diagnostic ultrasound of the extremities as "experimental,…
Jan 9, 2010
robert g schwartz replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
i know this because we have called to verify benefits on a patient who visits us from illinois. We were told quite clearly all dx us of limb studies are denied (b/c illinios). my office web site is piedmontpmr.com. you can call us from there and ask…
Dec 30, 2009
Paula Woletz replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
Could you direct us to a copy of the policy? When Illinois BCBS cited AIUM's position on non-operative spinal ultrasound in adults as a rationale to deny coverage for ALL musculoskeletal ultrasound, AIUM President Harvey Nisenbaum wrote a…
Dec 29, 2009
robert g schwartz replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
its a shame that despite a wide body of literature that aium would say that about paraspinal ultrasound...as if multifidus muscle atrophy there is any different then muscle atrophy somewhere else. see: http://piedmontpmr.com/dx_msk_psp_us_full.pdf…
Dec 29, 2009
desiree lerro, d.o. replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
for the time being, you may try to bill as "soft tissue US " and include "color doppler" or vasc. component if you used it. - desiree lerro, d.o. (radiologist)
Dec 28, 2009
Keith Hansen replied to Roger J. Beal's discussion 'Non-Coverage of MSK Ultrasound by BCBS of Texas' in the group Musculoskeletal Ultrasound Community
Back in 1996 the American College of Radiology came out with a position statement that Non-operative spinal/paraspinal ultrasound in adults was investigational and a non-covered service based on insufficient evidence. The ACR and the AIUM both have…
Dec 28, 2009

Non-Coverage of MSK Ultrasound by BCBS of Texas

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Based partly on a statement by the American Institute of Ultrasound in Medicine (AIUM) BCBS of Texas is NOT covering MSK ultrasound. AIUM has stated that Nonoperative Spinal/Paraspinal Ultrasound in Adults shows "insufficient evidence " of usefulness. Does the AIUM feel MSK ultrasound should be a covered procedure? Could the AIUM contact BCBS of Texas regarding this? I have found the MSK ultrasound imaging to be of greater value in diagnosing and treating the foot problems I encounter than…See More
Roger J. Beal added a discussion to the group Musculoskeletal Ultrasound Community Dec 28, 2009
11 Comments
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Roger J. Beal is now a member of aium communities Dec 28, 2009
Welcome Them!

Musculoskeletal Ultrasound Community

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The Musculoskeletal Ultrasound Community consists of professionals involved in the sonographic imaging of the musculoskeletal system.
Roger J. Beal joined AIUM's group Dec 28, 2009
12 Comments

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