Blue Cross/Blue Shield of Tennessee (BC/BS of TN) recently changed their utilization management policy to make the goal length of stay for TAVR 23-hour observation. Initial authorization would only be given for observation. Additional authorization must be requested if the patient was admitted.

After SCAI sent a letter to BC/BS of TN opposing this policy because outpatient observation for TAVR is inconsistent with the current standard of care, BC/BS of TN decided to reverse this change in policy. Have a coverage or reimbursement policy problem? Let the SCAI Government Relations team know. Contact Curtis Rooney at crooney@scai.org, Monica Wright at mwright@scai.org or Rachel Weston at rweston@scai.org.

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