These medical necessity criteria were developed by national imaging associates, inc What information is required to receive prior authorization? (nia) for the purpose of making clinical review determinations for requests for therapies and diagnostic procedures.
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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.
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. 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. 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. 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 a medical specialty solutions outpatient service
