New TurningPoint Documentation Guideline for musculoskeletal procedures and related services

The TurningPoint Documentation Guideline (PDF), which was developed by TurningPoint Healthcare Solutions LLC, is now available from the following pages of this website:

• Blue Cross Musculoskeletal Services
• BCN Musculoskeletal Services

This document replaces the Clinical documentation requirements for musculoskeletal procedures document and provides more detailed information about TurningPoint’s documentation requirements.

As a reminder, TurningPoint manages authorizations for orthopedic, pain management and spinal procedures for the following:

• Blue Cross commercial* — All fully insured groups, select self-funded groups and all members with individual coverage
• Medicare Plus Blue^SM members
• BCN commercial members
• BCN Advantage^SM members

*To determine whether you need to submit prior authorization requests for Blue Cross commercial members, see the document titled Determining whether Blue Cross commercial members require prior authorization for musculoskeletal surgeries and related procedures (PDF).

Posted: August 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network