Active Health Management Criteria

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ActiveHealth clinical policy guidelines - ActiveHealth Management

(3 days ago) WEBWhile Clinical Policy Guidelines define Active Health’s clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. In the event that a member disagrees with a coverage determination, Active Health …

https://www.activehealth.com/utilization-management/active-health-clinical-policy-guidelines/

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Utilization management - ActiveHealth Management

(2 days ago) WEBActiveHealth Management is a Private Review Agent that reviews certain procedures and services for medical necessity under health plans. Providers can submit pre-certification …

https://www.activehealth.com/utilization-management/

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Active Health Governance—A Conceptual Framework Based on a …

(3 days ago) WEB2. Methods. In this study, we conducted a narrative literature review, a literature review methodology informed by Greenhalth [] Lloyd [], Bower and Gilbody [], …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872243/

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eCFR :: 42 CFR 483.440 -- Condition of participation: Active …

(6 days ago) WEBThese objectives must—. (i) Be stated separately, in terms of a single behavioral outcome; (ii) Be assigned projected completion dates; (iii) Be expressed in behavioral terms that …

https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483/subpart-I/section-483.440

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Routine Assessment and Promotion of Physical Activity …

(5 days ago) WEBPhysical inactivity is one of the most prevalent major health risk factors, with 8 in 10 US adults not meeting aerobic and muscle-strengthening guidelines, and is associated with a high burden of …

https://www.ahajournals.org/doi/full/10.1161/cir.0000000000000559

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Guidelines and Recommended Strategies Physical …

(9 days ago) WEBLearn how much physical activity people need throughout their life span according to the US Department of Health and Human Services. Find evidence-based strategies to increase physical activity …

https://www.cdc.gov/physical-activity/php/guidelines-recommendations/index.html

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The Core of Care Management: The Role of Authentic …

(3 days ago) WEBPatients with 2 or more hospital admissions in the last 6 months are considered eligible for the care management initiative if they meet at least 3 of the …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4965703/

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Guidelines and Review Criteria - activehealth.com

(5 days ago) WEBGuidelines and Review Criteria . Evidence based-care guidelines and clinical decision support tools are utilized to determine medical necessity. You may access the …

https://www.activehealth.com/content/2024/06/Access-Guideline-and-Review-Criteria.pdf

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Guideline-Driven Management of Hypertension

(1 days ago) WEBSeveral important findings bearing on the prevention, detection, and management of hypertension have been reported since publication of the 2017 American College of Cardiology/American Heart …

https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.121.318083

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2019 ACC/AHA Guideline on the Primary Prevention of …

(Just Now) WEBSince 1980, the American College of Cardiology (ACC) and American Heart Association (AHA) have translated scientific evidence into clinical practice guidelines with recommendations to improve …

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000678

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Active vs. Expectant Management in the Third Stage of Labor

(6 days ago) WEBA Cochrane review compares active and expectant management of the third stage of labor on postpartum hemorrhage and other outcomes. Active management …

https://www.aafp.org/pubs/afp/issues/2021/0401/p404.html

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QUICK REFERENCE GUIDE - Horizon NJ Health

(7 days ago) WEBThis guide outlines the policies and procedures for providers enrolled with Horizon NJ Health, including credentialing, claim submission, prior authorization and more. For …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Members & Providers - ActiveHealth Management

(7 days ago) WEBFind forms, guidelines and review criteria for prior authorization, external review and appeal requests for various health care services and medications. Access the portal for …

https://www.activehealth.com/members-providers/

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LICENSING ORTHONET CLINICAL CRITERIA

(5 days ago) WEBLearn how OrthoNet of the Mid-Atlantic, Inc. provides utilization management of physical and occupational therapy services in New Jersey, and how to license the OrthoNet …

https://www.orthonet-online.com/forms/NJ_WEB_NOTICE.pdf

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IAHSS Introduces Comprehensive Threat Management Guidelines …

(3 days ago) WEBThe new guidelines emphasize the importance of creating a multidisciplinary Threat Assessment and Management (TAM) Team within healthcare facilities. This …

https://www.iahss.org/news/682561/IAHSS-Introduces-Comprehensive-Threat-Management-Guidelines-for-Healthcare-Facilities.htm

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Management of Acute Myocarditis and Chronic Inflammatory …

(7 days ago) WEBTerms Domain(s) Definition; Clinical Presentation Time Etiology, Pathophysiology Pathology; Active myocarditis*: X: On the basis of Dallas criteria, …

https://www.ahajournals.org/doi/10.1161/CIRCHEARTFAILURE.120.007405

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Homepage ActiveHealth Management

(9 days ago) WEBActiveHealth Management offers science-based coaching and technology to solve health care problems and achieve health equity. Learn how they use data, analytics, …

https://www.activehealth.com/

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West New York NJ, Pain Management, 6050 Blvd E - Healthcare6

(3 days ago) WEBOverview. Dr. Irfan A Alladin, MD, is a Pain Management specialist in West New York, New Jersey. He attended and graduated from medical school in 1998, having …

https://www.healthcare6.com/physician/west-new-york-nj/irfan-a-alladin-1297699.html

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Are Antidepressants Being Overused to Treat Seniors' Pain?

(Just Now) WEBMore research needed to inform international health guidelines. FRIDAY, Sept. 20, 2024 (HealthDay News) -- Doctors sometimes turn to antidepressants as a …

https://www.healthday.com/health-news/pain-management/are-antidepressants-being-overused-to-treat-seniors-pain

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Rehabilitation Skilled (SNF) AHM - activehealth.com

(1 days ago) WEBPatient has a diagnosis that requires skilled nursing services daily and patient is able to participate in at least one therapy of low to moderate

https://www.activehealth.com/content/2022/07/Rehabilitation-Skilled-SNF-AHM-1.pdf

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25+ Health Insurance Social Worker Jobs, Employment in - Indeed

(1 days ago) WEBEmployer Active 2 days ago. MSW and BSW Social Workers, North, Central and South New Jersey Easily apply. Have social work practice experience in a variety of fields of …

https://www.indeed.com/q-health-insurance-social-worker-l-succasunna-kenvil%2c-nj-jobs.html

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Learn about the Active Health Index - ActiveHealth Management

(1 days ago) WEBfacebook. linkedin. twitter. Learn about the Active Health Index. October 31, 2022. With our Active Health Index, wecan personalize a plan for each person in a …

https://www.activehealth.com/video/learn-about-the-active-health-index/

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Health plans - ActiveHealth Management

(5 days ago) WEBFounded by doctors and proven to improve health quality, outcomes and cost. savings in medical and pharmacy costs per member per month. We have a longstanding history of …

https://www.activehealth.com/who-we-serve/health-plans/

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