Transcription of 2018-2019 NIA Clinical Guidelines for Medical Necessity Review
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2018-2019 NIA Clinical Guidelines for Medical Necessity Review MUSCULOSKELETAL AND SURGERY Guidelines . Version: 2. NIA Clinical Guidelines 2018-2019 Magellan Health, Inc. Proprietary Page 1 of 131. Guidelines for Clinical Review Determination Preamble NIA is committed to the philosophy of supporting safe and effective treatment for patients. The Medical Necessity criteria that follow are Guidelines for the provision of diagnostic imaging. These criteria are designed to guide both providers and reviewers to the most appropriate diagnostic tests based on a patient's unique circumstances.
NIA Clinical Guidelines © 2018-2019 Magellan Health, Inc. Proprietary Page 2 of 131
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