Our system provides instant access to much of the prior authorization information that our call center staff provides Nia’s clinical guidelines are on radmd.com* under online tools/clinical guidelines Nia’s guidelines for medical specialty solutions services were developed from practice experience, literature reviews, specialty criteria sets and empirical data. How does the ordering provider obtain a prior authorization from nia for a medical specialty solutions outpatient service What information is required to receive prior authorization? You have instant access to the imaging authorization and supporting information you need on this site
Whether submitting imaging exam requests or checking the status. Search for resources by solution below Advanced imaging musculoskeletal and surgery radiation oncology physical medicine genetic testing What information does nia require before a medical necessity review can be initiated for prior authorization determination How does the ordering provider obtain a prior authorization from nia for an outpatient ipm procedure Rs will be able to request prior authorization via the nia website www.radmd.com (preferred method) to obtain prior authorization for ipm p ocedures
Medical necessity determinations are based on evolent clinical guidelines Evolent clinical guidelines are available on radmd.com. These medical necessity criteria were developed by national imaging associates, inc (nia) for the purpose of making clinical review determinations for requests for therapies and diagnostic procedures. These medical necessity criteria were developed by evolent for the purpose of making clinical review determinations for requests for therapies and diagnostic procedures The developers of the criteria sets included representatives from the disciplines of radiology, internal medicine, nursing, cardiology, and other specialty groups
Evolent’s guidelines are reviewed yearly and modified when. Who can a provider contact at nia for more information You may contact your dedicated nia provider relations manager
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