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March 2022

Updated TurningPoint fax form and site-of-care guideline

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

Pain management: Epidural steroid injections authorization request form:

  • The form reflects updated criteria from the Centers for Medicare & Medicaid Services.
  • Before 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 our ereferrals.bcbsm.com website.
  • TurningPoint made the same updates to the questionnaire in its provider portal.

TurningPoint Site-of-Care Guideline (GN-1004):

  • You can access the updated guideline by logging in to the TurningPoint provider portal** and clicking on Help in the menu at the top of the screen.
  • 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℠, BCN commercial and BCN Advantage℠ members.
  • For more information about the requirement, see the ereferrals.bcbsm.com post.

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.

**Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.