Updated TurningPoint fax form and site-of-care guideline

In January 2022, the following documents were updated for the TurningPoint Healthcare Solutions LLC musculoskeletal surgical quality and safety management program:

• Pain management: Epidural steroid injections authorization request (PDF) fax form — The form reflects updated criteria from the Centers for Medicare & Medicaid Services. When faxing authorization requests, be sure to use the form that’s dated January 2022.

  You can access this form through the Blue Cross Musculoskeletal Services and BCN Musculoskeletal Services pages of this website.

  Note: TurningPoint made the same updates to the questionnaire in their Provider Portal.

• TurningPoint Site-of-Care Guideline (GN-1004) — The updated guideline reflects the site-of-care changes that went into effect on Jan. 3, 2022, for total hip and total knee surgeries for Medicare Plus Blue^SM, BCN commercial and BCN Advantage^SM members. (For more information about the requirement, see this news item on this website.)

  You can access the updated guideline by logging in to the TurningPoint Provider Portal and clicking Help in the menu at the top of the screen.

TurningPoint Healthcare Solutions LLC is an independent company that manages authorizations for musculoskeletal surgical and related procedures for Blue Cross Blue Shield of Michigan and Blue Care Network.

Posted: February 2022
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network