Clinical documentation requirements for authorization requests related to musculoskeletal procedures managed by TurningPoint

A new Documentation requirements for musculoskeletal procedures (PDF) document is now available on the ereferrals.bcbsm.com website.

This document lists the clinical documentation that you must include when submitting authorization requests to TurningPoint Healthcare Solutions, LLC, for musculoskeletal procedures.

You can find this document and related documents on the following pages of this website:

• The Blue Cross Musculoskeletal Services page
• The BCN Musculoskeletal Services page

As a reminder, TurningPoint currently manages inpatient and outpatient authorization requests for dates of service on or after July 1, 2020, as follows:

• Joint procedures for Medicare Plus Blue^SM PPO, BCN HMO^SM and BCN Advantage^SM members
• Spine procedures for BCN HMO and BCN Advantage members.

Posted: July 2020
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network