United Healthcare Imaging Guidelines
Listing Websites about United Healthcare Imaging Guidelines
Clinical Guidelines UHCprovider.com
(4 days ago) WEBUnitedHealthcare uses evidence-based clinical guidelines from nationally recognized sources during review of our quality and health management programs. Recommendations contained in clinical practice guidelines are not a guarantee of …
https://www.uhcprovider.com/en/policies-protocols/clinical-guidelines.html
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Magnetic Resonance Imaging (MRI) and Computed …
(9 days ago) WEBPre-procedure imaging which is done within 24 hours of the interventional or surgical procedure and is an integral part of the planned procedure Are scheduled for the MRI/CT imaging procedure within 24 hours of a hospital specialist appointment at the same hospital-based facility where the procedure is requested
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Designated Diagnostic Provider UnitedHealthcare
(9 days ago) WEBDesignated Diagnostic Provider benefits help protect members from higher, unjustified costs for outpatient lab or major imaging services while maintaining access to quality, safe, and efficient providers. These benefits are part of a strategy to lower overall healthcare costs. Member benefits for outpatient diagnostic lab and major imaging
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ACR Appropriateness Criteria Patient-Friendly Summaries …
(9 days ago) WEBThe ACR Appropriateness Criteria® (AC) are evidence-based guidelines for the use of diagnostic imaging tests and image-guided interventions. The documents are created by expert panels of radiologists and other clinicians. They provide guidance for health care professionals who are selecting imaging tests or treatments for their …
https://www.jacr.org/article/S1546-1440(23)00735-4/fulltext
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UnitedHealthcare Clinical Practice Guidelines
(7 days ago) WEBGuidelines are used as a resource to guide cancer detection, prevention and risk reduction, workup and diagnosis, treatment and supportive care. Approved September 2013. Approved October 2013. Organ Transplantation. 2013 Transplant Review Guidelines: Solid Organ and Stem Cell Transplantation.
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UnitedHealthcare to implement outpatient advanced …
(5 days ago) WEBEffective January 1, 2019, UnitedHealthcare (UHC) will require prior authorization for certain advanced imaging procedures when performed in the outpatient hospital setting. As highlighted in the UnitedHealthcare Network Bulletin October 2018, certain magnetic resonance imaging, magnetic resonance angiography and computed tomography …
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ACR Appropriateness Criteria® American College of …
(7 days ago) WEBACR Appropriateness Criteria. The ACR Appropriateness Criteria® (AC) are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or …
https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria
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Outpatient High Technology Diagnostic Imaging: CT/MRI/PET
(9 days ago) WEBEffective Date: April 1, 2021 Page: 2 of 4 FEP UM Guideline 003: Outpatient High Technology Diagnostic Imaging: CT/MRI/PET Page 2 of 4 CLINICAL REVIEW This guideline specifically addresses clinical review for …
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Breast cancer screening and diagnosis UnitedHealthcare
(2 days ago) WEBDiagnostic mammogram. If you’ve had an abnormal screening mammogram or may have signs of a possible breast condition (like a lump, pain, discharge, thickening breast skin, or changes in breast shape or size) you’ll likely get a diagnostic mammogram. Your doctor might also order this for any special circumstance, like if you have breast
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UnitedHealthcare Rolls Out Designated Diagnostic Imaging …
(6 days ago) WEBUnitedHealthcare recently launched a new Designated Diagnostic Imaging Provider Program for select markets. The program evaluates imaging providers on quality and efficiency standards and offers patients tiered benefits based on their selected providers’ designation. The program goes into effect on July 1.
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eviCore Cardiac Imaging Guidelines - V2.0.2023 - Effective …
(2 days ago) WEBv2.0.2023. Hypertrophic Cardiomyopathy (HCM) is a clinical diagnosis, established by imaging with 2D echocardiography or cardiovascular magnetic resonance (CMR) showing a maximal end-diastolic wall thickness of ≥ 15 mm anywhere in the left ventricle, in the absence of another cause of hypertrophy in adults.
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The current landscape of imaging recommendations in …
(3 days ago) WEBAllen B, et al. Summary of the proceedings of the international forum 2016: ‘Imaging referral guidelines and clinical decision support—how can radiologists implement imaging referral guidelines in clinical routine? Insights Imaging. 2017; 1:1. doi: 10.1007/s13244-016-0523-4. [PMC free article] [Google Scholar]
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7593299/
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Outpatient radiology prior authorization protocol
(4 days ago) WEBWe require prior authorization for certain advanced outpatient imaging procedures for most UnitedHealthcare commercial and Individual Exchange plans, also referred to as UnitedHealthcare Individual & Family ACA Marketplace plans. We review the evidence-based clinical guidelines at least annually to align with current best practices.
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Diagnostic Mammogram Breast Cancer Detection New Jersey
(7 days ago) WEBA prescription is required. For assistance in obtaining a prescription, please call 1-800-VALLEY 1 (1-800-825-5391). Schedule Now. Regular mammograms are an essential part of your overall health and wellness. At Valley's Breast Imaging Center, the latest technology and methods are used to identify breast cancer at its earliest stages.
https://www.valleyhealth.com/services/mammogram
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Palisades Medical Center Imaging Services - Hackensack Meridian …
(5 days ago) WEBPalisades Medical Center Imaging Services offers flexible scheduling with day, evening, and weekend appointments for CT scans, MRI, XRAY, Ultrasound, Nuclear Medicine, PET-CT, Mammography, and Bone Density tests. Specialties include Chest CT angiogram, Contrast studies, MRA, Diagnostic and Vascular Ultrasound, and Musculoskeletal …
https://www.hackensackmeridianhealth.org/en/locations/palisades-medical-center-imaging-services
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Imaging Facilities: Designated Diagnostic Provider
(Just Now) WEBBeginning Jan. 1, 2022, where approved, UnitedHealthcare fully insured small group commercial plan members will have the Designated Diagnostic Provider benefit designs for major imaging services as part of their health benefits. Large group commercial members will have the Designated Diagnostic Provider benefit beginning July 1, 2022.
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Radiology Imaging Program Questions and Answers Updated: …
(2 days ago) WEBA1. eviCore healthcare (eviCore) is a specialty benefit management company that manages the quality and use of outpatient diagnostic and cardiac imaging, radiation therapy, pain management, spine surgery and other services. eviCore ensures that every treatment and test is medically necessary and absolutely appropriate for the individual …
https://www.horizonblue.com/sites/default/files/Radiology_Imaging_QA.pdf
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New Jersey Imaging Network Outpatient Imaging Centers - RadNet
(Just Now) WEBNew Jersey Imaging Network has 18 outpatient radiology centers helping patients with their medical imaging exam needs (MRI, 3D Mammography, PET/CT, X-Ray, Ultrasound, CT, etc.) We are a joint partnership between Barnabas Health and RadNet. Skip to main content. 800-930-6759. EXPLORE RADNET.COM. Find an Imaging Center
https://www.radnet.com/new-jersey-imaging-network/
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Radiation Oncologists Faced With New UHC Prior Authorization
(7 days ago) WEBEffective April 1, 2021, prior authorization for certain outpatient radiation therapies will be required for UnitedHealthcare (UHC) commercial members. Prior authorization will be required for the following radiation therapy services, in addition to intensity-modulated radiation therapy and proton beam therapy:
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