The Vascular Society of New Jersey
Ultrasound Pre-certification Update
Horizon Blue Cross Blue Shield of New Jersey recently announced changes to their Ultrasound Services Program requiring pre-certification for ultrasound studies through a third Party (eviCore healthcare) effective May 1 ,2019. We believe that this policy severely limits our ability to provide patients with appropriate and timely care. VSNJ submitted the enclosed letter to Horizon Blue Cross Blue Shield on behalf of our members. We also submitted our concerns to the New Jersey Department of Health, the Department of Banking and Insurance, the Intersocietal Accreditation Commission and the Society of Vascular Ultrasound. The Intersocietal Accreditation Commission also drafted a response to Horizon BCBS regarding the rigors of achieving ICAVL accreditation including appropriate indications for testing.
I have been in contact with John Fuller, the Director of Government Affairs for Horizon BCBS expressing our concerns for the deleterious effects that this policy would have on the care of vascular patients in our state We are happy to report that Horizon BCBS has announced a delay in implementing this policy as they more fully investigate the matter. The official statement can be reviewed here. We will continue to advocate for our members and patients and keep you updated to any new changes.
Combiz Rezayat, MD