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Search results with tag "Evicore"

Obstetrical Ultrasonography - Oxford Health Plans

www.oxhp.com

Oxford has engaged eviCore healthcare to perform initial reviews of requests for pre-certification and Medical necessity reviews. To pre-certify a radiology procedure, please call eviCore healthcare at 1-877-PRE-AUTH (1-877-773-2884) or log on to the eviCore healthcare web site using the Prior Authorization and Notification App. eviCore ...

  Health, Plan, Healthcare, Oxford, Evicore, Oxford health plans, Evicore healthcare

CODING GUIDELINES - eviCore

www.evicore.com

eviCore Radiation Therapy Coding Guidelines These guidelines summarize definitions and appropriate use of several CPT® codes. These guidelines are not meant to be all -inclusive, but are meant to be used in conjunction

  Guidelines, Coding, Radiation, Coding guidelines, Evicore, Evicore radiation

Kentucky Medicaid MCO Prior Authorization Request Form ...

www.uhcprovider.com

Healthcare WellCare of Kentucky Anthem Blue Cross Blue Shield Not all plans require PAs for the same services. Check with the plan before submitting Please complete all appropriate fields ... Radiology (eviCore) 1-888-693-3211 1-888-693-3210 Vision (Avesis) 1-855-214-6676

  Healthcare, Evicore

Radiology Procedures Requiring Prior Authorization for ...

www.uhcprovider.com

Radiology Procedures Requiring Prior Authorization for eviCore healthcare Arrangement Page 3 of 16 UnitedHealthcare Oxford Clinical Policy Effective 12/01/2021 ©1996-2021, Oxford Health Plans, LLC . Applicable Codes .

  Procedures, Authorization, Healthcare, Prior, Arrangement, Prior authorization, Evicore, Prior authorization for evicore healthcare arrangement

Medical Prior Authorization List (Small and Large Group ...

hf.org

Starting 1.1.22, all services that were previously delegated to eviCore Healthcare will be managed directly by Health First Health Plans for Small and Large Group members. This includes genetic testing, nuclear medicine procedures, hightech imaging- (including cardiac imaging/testing), and sleep related services/devices.

  First, Health, Evicore, First health

Radiology Procedures Requiring Precertification for ...

www.oxhp.com

Radiology Procedures Requiring Precertification for eviCore healthcare Arrangement Page 1 of 13 ... any federal or state regulatory requirements, and the member specific benefit plan coverage prior to use of this Clinical Policy. Other Policies may apply. ... inclusive. Listing of a code in this policy does not imply that the service described ...

  Requirements, Procedures, Plan, Healthcare, Inclusive, Precertification, Radiology, Arrangement, Requiring, Evicore, Radiology procedures requiring precertification for, Radiology procedures requiring precertification for evicore healthcare arrangement

RADIATION THERAPY PROGRAM - Center Care

www.centercare.com

eviCore’s role in the radiation therapy program Important notes › It is the responsibility of the performing facility or health care professional to confirm precertification

  Programs, Therapy, Radiation, Radiation therapy program, Evicore

Office manual for health care professionals

www.aetna.com

CareCore National doing business as (d/b/a) eviCore healthcare - Gloucester, Mercer and Salem counties), Vermont High-tech radiology - Facility-based sleep studies

  Health, Manual, Professional, Care, Manual for health care professionals, Evicore

eviCore healthcare and Cigna Integrated Oncology ...

www.evicore.com

1 eviCore healthcare and Cigna Integrated Oncology Management Program Frequently Asked Questions Who is eviCore healthcare? eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides

  Programs, Management, Frequently, Healthcare, Integrated, Oncology, Cigna, Evicore, Evicore healthcare and cigna integrated oncology, Evicore healthcare and cigna integrated oncology management program frequently

eviCore Oncology Imaging Guidelines - Effective 2/14/2020

www.evicore.com

400 Buckwalter Place Boulevard, Bluffton, SC 29910 (800) 918-8924 www.eviCore.com Page 6 of 295. Oncology Imaging Brain imaging is performed for signs or symptoms of brain disease ® MRI Brain without and with contrast (CPT 70553) is the recommended study for evaluation of suspected or known brain metastases. ...

  Evicore

eviCore Chest Imaging Guidelines

www.evicore.com

400 Buckwalter Place Boulevard, Bluffton, SC 29910 (800) 918-8924 www.eviCore.com Page 7 of 87. Chest Imaging CH-1.6: General Guidelines – Nuclear Medicine 78597 Quantitative differential pulmonary perfusion, including imaging when performed 78598 Quantitative differential pulmonary perfusion and ventilation (e.g., aerosol or gas), ...

  Guidelines, Chest, Imaging, Evicore, Evicore chest imaging guidelines

eviCore Radiation Oncology Guidelines - V3

www.evicore.com

Norcross, GA) and the GALILEO™ Intravascular Radiotherapy System (Guidant Corp., Houston, TX) deliver beta radiation, while the Cordis Checkmate™ System (Cordis Corp., Miami, FL) delivers gamma radiation. Each operates in a similar fashion. A delivery catheter is placed in the coronary artery at the site of instent restenosis and a transfer -

  Radiation, Oncology, Radiotherapy, Evicore, Evicore radiation oncology

eviCore Radiation Oncology Coding Guidelines Effective 1 …

www.evicore.com

C. 77300 (Basic radiation dosimetry calculation) CPT ® code 77300, basic radiation dosimetry calculation, is billed for a mathematical computation of the radiation dose at a particular point, a calculation related to source decay, or another independent calculation. Calculations are required for both external beam radiation therapy and

  Guidelines, Coding, Therapy, Radiation, Oncology, Radiation therapy, Evicore, Evicore radiation oncology coding guidelines

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