Horizon Health Clinical Guidelines

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Clinical Guidelines - Horizon NJ Health

(Just Now) WEBMembers and providers can obtain a copy of the benefit provision, guideline, protocol or other criteria on which decisions are based at no cost by contacting Horizon NJ Health at 1-800-682-9094 ext. 89469. This content was last revised on March 18, 2024 and may …

https://www.horizonnjhealth.com/for-providers/resources/clinical-and-preventive-guidelines/clinical-guidelines

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Medical policies and prior authorizations - Horizon Blue Cross Blue

(4 days ago) WEBWhat are prior authorizations and medical policies? Horizon BCBSNJ’s medical policy follows established clinical and preventive guidelines, so when you need care, you …

https://www.horizonblue.com/members/education-center/medical-policies-and-prior-authorizations

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Preventive MedUSafelines: Adults - Horizon BCBSNJ

(Just Now) WEBMost women should begin yearly mammograms at age 45 years.1. Ages 55 through 74 years: mammograms every other year. After age 75 years, discuss benefits and …

https://www.horizonblue.com/sites/default/files/2019-04/Adult_Screenings_Immunizations.pdf

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Policies, Procedures and General Guidelines - Horizon - Horizon …

(5 days ago) WEBAll treatment records, bills and claim forms shall accurately reflect the treatment or services rendered. Treatment records shall be maintained for a period of …

https://www.horizonblue.com/providers/resources/working-us-information-education-resources/manuals-user-guides/horizon-hospital-network-manual/policies-procedures-and-general-guidelines

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Dental Clinical Policies and Guidelines Horizon Health and Wellness

(5 days ago) WEBThe purpose of the Dental Policy Manual is to provide Horizon Blue Cross Blue Shield of New Jersey with a tool for the objective comparison of clinical office practices among …

https://services3.horizon-bcbsnj.com/DDN/dentPolWeb.nsf

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Policies, Procedures and General Guidelines - Horizon - Horizon …

(Just Now) WEBHorizon validates practitioner Physician Office Manual 89 Policies, Procedures and General Guidelines information every 90 days through outreach efforts …

https://www.horizonblue.com/providers/resources/working-us-information-education-resources/manuals-user-guides/ancillary-manual/policies-procedures-and-general-guidelines

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Pharmacy Guidelines - Horizon Blue Cross Blue Shield of New Jersey

(2 days ago) WEBSpecific guidelines and criteria for medical necessity, developed and approved by physicians and pharmacists, must be met before certain drugs are …

https://www.horizonblue.com/providers/products-programs/pharmacy/pharmacy-programs/pharmacy-guidelines

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MCG HEALTH (CLINICAL) GUIDELINES - Horizon BCBSNJ

(7 days ago) WEBFor certain services within the categories listed below, the administration of plan benefits in relation to member and group insured commercial plans, Administrative …

https://www.horizonblue.com/providers/policies-procedures/policies/clinical-guidelines/mcg-health-clinical-guidelines

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NJ FamilyCare Dental Services Clinical Criteria - Horizon NJ Health

(3 days ago) WEBIntroduction and Purpose: The NJFC program has established a clinical criteria policy for dental services to establish a single set of clinical guidelines to be …

https://www.horizonnjhealth.com/for-providers/programs/dental/clinical-criteria-grid/nj-familycare-dental-services-clinical

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Home - Horizon NJ Health

(2 days ago) WEBFrom doctor visits and dental care, to prescription drugs and more – We have you covered. As a Horizon NJ Health member, you don’t need referrals for in-network specialists and …

https://www.horizonnjhealth.com/

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For Staff and Physicians - Horizon Health Network

(5 days ago) WEBSkyline is the intranet that is used by Horizon Health Network to share corporate documents, policies, procedures, project document sites, and internal communications. …

https://horizonnb.ca/about-us/for-staff-and-physicians/

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Enhancing the transparency of clinical practice guidelines by

(3 days ago) WEBProspective registration of clinical practice guidelines has received increasing attention from researchers in recent years.1–3 Registration means submitting …

https://ebm.bmj.com/content/early/2024/05/08/bmjebm-2023-112813

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Policies, Procedures and General Guidelines - Horizon Blue Cross …

(6 days ago) WEBNew Jersey health plans must provide coverage of mammograms at specified intervals for women based on age and/or medical necessity. Coverage for …

https://www.horizonblue.com/providers/resources/working-us-information-education-resources/manuals-user-guides/participating-physician-and-other-health-care-professional-office-manual/policies-procedures-and-general-guidelines

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The Women’s Health Initiative Randomized Trials and Clinical …

(7 days ago) WEBImportance Approximately 55 million people in the US and approximately 1.1 billion people worldwide are postmenopausal women. To inform clinical practice about …

https://jamanetwork.com/journals/jama/fullarticle/2818206

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Revised clinical guidelines on mandatory reporting of substance …

(1 days ago) WEBIn May 2021, BMC revised its clinical guidelines to report suspected abuse after a child is born when there are tangible concerns about the parent's ability to safely …

https://medicalxpress.com/news/2024-05-clinical-guidelines-mandatory-substance-exposed.html

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Horizon Behavioral Health

(7 days ago) WEBTake the first step and call Horizon Behavioral Health at 1-800-626-2212, 24/7. We’re here when you need us most. Now and always. ‌ ‌ ‌ ‌ ‌ ‌ This website is operated by Horizon Blue …

https://www.horizonblue.com/members/health-programs/horizon-behavioral-health

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2024 AHA/ACC/AMSSM/HRS/PACES/SCMR Guideline for the …

(1 days ago) WEBVideo: 2024 Guideline for the Management of Hypertrophic Cardiomyopathy Writing Committee Chair Steve R. Ommen, MD, FACC, FAHA and Vice Chair Carolyn …

https://professional.heart.org/en/science-news/2024-guideline-for-the-management-of-hypertrophic-cardiomyopathy

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Clinical Practice Guideline Developed for Age-Related Hearing Loss

(7 days ago) WEBFRIDAY, May 10, 2024 (HealthDay News) -- In a clinical practice guideline issued by the American Academy of Otolaryngology-Head and Neck Surgery …

https://www.healthday.com/healthpro-news/ear-nose-and-throat/clinical-practice-guideline-developed-for-age-related-hearing-loss

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Clinical Guidelines - Horizon Blue Cross Blue Shield of New Jersey

(6 days ago) WEBClinical Guidelines. When making decisions about the administration of plan benefits to patients enrolled in member and group insured Commercial plans, …

https://www.horizonblue.com/providers/policies-procedures/policies/clinical-guidelines

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JACC and The Lancet Align to Advance CV Health

(3 days ago) WEBJACC and The Lancet are bringing together their resources, expertise, and networks to disseminate high-quality research, foster interdisciplinary collaborations, and …

https://www.acc.org/latest-in-cardiology/articles/2024/05/09/13/59/jacc-and-the-lancet-align-to-advance-cv-health

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NJ FamilyCare - Horizon NJ Health

(4 days ago) WEBThe NJ FamilyCare program allows eligible children, single adults and families to get affordable, quality health care through Horizon NJ Health. You can apply for NJ …

https://www.horizonnjhealth.com/ourplans/nj-familycare

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KDIGO’s 2024 Updated Guidelines Re-Emphasize Commitment to

(Just Now) WEBMohamed Eid shares his thoughts on the updated KDIGO clinical practice guidelines, published in 2024, and the need for guidelines-directed care for CKD. is committed …

https://www.boehringer-ingelheim.com/us/human-health/chronic-kidney-disease/kdigos-2024-updated-guidelines-re-emphasize-commitment

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Clinical Practice Guidelines - Horizon Blue Cross Blue Shield of …

(3 days ago) WEBAt Horizon, we follow clinical and preventive guidelines for our Disease Management Programs and for the care we give to our members. These guidelines are determined …

https://sit.horizonbluestaging.com/providers/resources/clinical-practice-guidelines

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