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Asuris Medical Policy Manual

WebThe Medical Policy Manual contains Medical Policies approved by the Medical Policy Workgroup. Medical Policies are based upon scientific evidence of merit for a particular …

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Asuris Medical Policy Manual Clinical Practice Guidelines

WebAsuris Medical Policy - Clinical Practice Guidelines. Introduction | Table of Contents | Recent Updates | Contact Medical Policy Staff. Clinical Practice Guidelines (CPGs) are …

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Asuris Medical Policy Manual Table of Contents

WebTransplant. Utilization Management. Upcoming Policy Reviews. Medical Policies Available for Electronic Authorization and Routing to MCG Health's Website. Table of contents for …

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Asuris Medical Policy Manual

WebEffective Date: March 1, 2024. Purpose of the Manual. The purpose of a medical policy is to provide guidelines for determining coverage criteria for specific medical and behavioral …

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Asuris Medicare Advantage Medical Policy and Review Process

WebPurpose of the Medicare Advantage Medical Policy Manual. Important Note: This policy manual applies to services rendered to Medicare Advantage members only. The purpose …

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Asuris Medical Policy Manual Upcoming Reviews

WebThe process for Asuris medical policy development is described in the Introduction to the Asuris Medical Policy Manual. In addition, Asuris values the experience and opinions of …

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Asuris Medical Policy Manual Table of Contents

WebComments from physicians and other health care practitioners regarding Asuris Medicare medical policies are welcome. If you are a physician and have a question or comment …

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Utilization Management Table of Contents

WebAir Ambulance Transport. UM13. 04/01/2024. Surgical Site of Service – Hospital Outpatient. UM19. 03/01/2024. Maternity table of contents for The Asuris Medical Policy Manual.

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Pharmacy Peer-to-Peer Review Request Form for Medications

WebIf you would like to speak with a clinical reviewer about the denial of a provider-administered medication pre-authorization (PA) request, please complete this form to arrange for a …

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Bioengineered Skin and Soft Tissue Substitutes and Amniotic …

WebBioengineered skin and soft tissue substitutes may be derived from human tissue (autologous or allogeneic), nonhuman tissue, synthetic materials, or a composite of …

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Asuris Medicare Advantage Medical Policy and Review Process

WebThe Medicare Advantage Medical Policy Manual contains approved Medical Policies. Medical Policies are developed using applicable Centers for Medicare & Medicaid …

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Recent Updates Medical Policy Manual

WebCoding / Implementation Change. PreAuthorization Change. Folate Testing. New policy will address folate testing. Effective Date: June 1, 2024. Laboratory, Policy …

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Applied Behavior Analysis for the Treatment of Autism …

WebDESCRIPTION. Applied Behavior Analysis (ABA) is an umbrella term describing principles and techniques used in the assessment, treatment, and prevention of challenging …

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Medicare Advantage Policy Manual Policy ID: M-SUR40

WebThe Medicare Advantage Medical Policy manual is not intended to override the member Evidence of Coverage (EOC), which defines the insured’s benefits, nor is it intended to …

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Orthopedic Applications of Stem-Cell Therapy, Including Bone

WebThe Medicare Advantage Medical Policy manual is not intended to override the member Evidence of Coverage (EOC), which defines the insured’s benefits, nor is it intended to …

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Transcranial Magnetic Stimulation as a Treatment of …

WebTranscranial magnetic stimulation (TMS) is a noninvasive method of delivering electrical stimulation to the brain. The technique involves placement of a small coil over the scalp; …

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Asuris Northwest Health Medical Peer-to-Peer (P2P) Review …

WebA peer-to-peer is not intended to overturn a denial or replace an appeal. Please contact our Provider Customer Service Team by phone at 1 (800) 253-0838 if you have any …

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Surface Electromyography (SEMG) Including Paraspinal SEMG

WebSurface electromyography (SEMG) is a non-invasive, computer-based procedure, most commonly used in an office setting to assess muscle function by recording muscle …

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