United Healthcare Clinical Guidelines Radiology

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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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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 …

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/radiology/COMM-Exchange-Radiology-Prior-Auth-FAQ.pdf

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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, …

https://www.uhc.com/member-resources/where-to-go-for-medical-care/care-options-and-costs/designated-diagnostic-provider

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Prior Authorization Criteria - UnitedHealthcare

(5 days ago) WEBof positive clinical response to therapy. Age Restrictions IBS (Initial): 18 years and older. Prescriber Restrictions N/A Coverage Duration IBS (Initial): 12 weeks. …

https://www.uhc.com/medicare/online_documents/ovation/pdf/pdp/en/2022/Prior_Auth_PPREF_2022.pdf

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American College of Radiology Releases New and …

(9 days ago) WEBReston, VA (April 26, 2021) — The American College of Radiology® (ACR®) today released an update to its ACR Appropriateness Criteria® (ACR AC), which includes 211 …

https://www.acr.org/Media-Center/ACR-News-Releases/2021/American-College-of-Radiology-Releases-New-and-Updated-ACR-Appropriateness-Criteria

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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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UnitedHealthcare Clinical Practice Guidelines

(7 days ago) WEBthe clinical guidelines and the websites where they can be found. Medical Technology Assessment Committee Approval Status –May 1, 2014 Provider Advisory …

https://www.uhc.com/communityplan/assets/plandocuments/memberinformation/KS_Disease_Specific_Guidelines_grid_2014.pdf

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Outpatient High Technology Diagnostic Imaging: CT/MRI/PET

(9 days ago) WEBCLINICAL REVIEW This guideline specifically addresses clinical review for prior approval of high technology diagnostic imaging requests for CT, MRI and PET …

https://www.fepblue.org/-/media/PDFs/Utilization%20Management%20Guidelines/04-22-2021/FEP%20UM%20Guideline%20003%20Outpatient%20High%20Technology%20Diagnostic%20Imaging%202021.pdf

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Radiology Coding Guidelines and Best Practices - Infinx

(5 days ago) WEBDiagnostic Radiology. Screening CT of the Thorax. Codes 71250, 71260, 71270 are diagnostic. Also, a new CT of the thorax code will be available for reporting …

https://www.infinx.com/blog/radiology-coding-guidelines-and-best-practices/

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The current landscape of imaging recommendations in …

(3 days ago) WEBAmong patients with a prior CCS diagnosis who needs risk assessment (new/worsening symptoms or high clinical prognostic risk), ESC guidelines highlight …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7593299/

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Radiologic Diagnostic Procedures

(1 days ago) WEBRadiologic Diagnostic Procedures Page 1 of 6 UnitedHealthcare Medicare Advantage Coverage Summary Approved 12/13/2023 Proprietary Information of UnitedHealthcare.

https://www.012397.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/radiologic-diagnostic-procedures.pdf

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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 …

https://www.evicore.com/sites/default/files/clinical-guidelines/2023-06/eviCore-Cardiac-Imaging-Guidelines_V202023_eff07012023_pub03132023.pdf

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Clinical Guidelines EviCore by Evernorth

(2 days ago) WEBClinical Guidelines. To access EviCore’s clinical guidelines, select the image that represents the guidelines of interest, then enter “EviCore by Evernorth” in the search by …

https://www.evicore.com/provider/clinical-guidelines

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Biopsy before ablation has no cost advantage over both-at-once …

(1 days ago) WEBThe researchers assumed all patients to have been treated consistent with clinical practice guidelines as published by various medical groups. Florea and co …

https://radiologybusiness.com/topics/healthcare-management/healthcare-economics/biopsy-ablation-has-no-cost-advantage-over-both-once-approach

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Practice Parameters and Technical Standards - American College …

(2 days ago) WEBPractice Parameters and Technical Standards. ACR Practice Parameters and Technical Standards promote the safe and effective use of diagnostic and therapeutic radiology …

https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards

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Radiologic Diagnostic Procedures - UHCprovider.com

(6 days ago) WEBCoverage Guidelines. Diagnostic radiologic procedures are covered when Medicare criteria are met. Note: For members in UnitedHealthcare Medicare Advantage plans where a …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/radiologic-diagnostic-procedures.pdf

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

(4 days ago) WEBMethods. A comprehensive literature search was conducted from September 14, 2022, to November 22, 2022, encompassing studies, reviews, and other evidence on …

https://www.ahajournals.org/doi/abs/10.1161/CIR.0000000000001250

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UK guidelines for the management of soft tissue sarcomas

(Just Now) WEBclinical examination to focus on local recurrence, with imaging MRI or CT when indicated by clinical suspicion, or if the primary site is difficult to examine clinically …

https://www.nature.com/articles/s41416-024-02674-y

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Cigna Medical Coverage Policies – Radiology Chest Imaging …

(8 days ago) WEBGeneral Guidelines – Chest Ultrasound (CH-1.2) Chest ultrasound (CPT® 76604) includes transverse, longitudinal, and oblique images of the chest wall with …

https://www.evicore.com/sites/default/files/clinical-guidelines/2024-05/Cigna_Chest%20Imaging%20Guidelines_V2.0.2024_eff05.17.2024_pub05.16.2024.pdf

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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 …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/mri-ct-scan-site-of-service.pdf

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Incorporating Clinical Guidelines through Adapting Multi-modal …

(2 days ago) WEBThe Prostate Imaging Reporting and Data System (PI-RADS) is pivotal in the diagnosis of clinically significant prostate cancer through MRI imaging. Current deep …

https://arxiv.org/abs/2405.08786

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PET/CT Imaging of Infectious Diseases: Overview of Novel - MDPI

(1 days ago) WEBInfectious diseases represent one of the most common causes of hospital admission worldwide. The diagnostic work-up requires a complex clinical approach, …

https://www.mdpi.com/2075-4418/14/10/1043

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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 …

https://www.acr.org/Advocacy-and-Economics/Advocacy-News/Advocacy-News-Issues/In-the-April-3-2021-Issue/Radiation-Oncologists-Faced-With-New-UHC-Prior-Authorization-Requirements

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Policies and Protocols for Providers UHCprovider.com

(4 days ago) WEBSpecialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Exchange plans for May 2024. Health care …

https://www.uhcprovider.com/en/policies-protocols.html

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The Clinical Role of CXCR4-Targeted PET on Lymphoproliferative

(1 days ago) WEBBackground/Objectives: We conducted a comprehensive investigation to explore the pathological expression of the CXCR4 receptor in lymphoproliferative …

https://www.mdpi.com/2077-0383/13/10/2945

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