Medical Mutual Clinical Guidelines

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Clinical Practice Guidelines - Medical Mutual of Ohio

https://www.medmutual.com/For-Providers/Clinical-Practice-Guidelines

Clinical Practice Guidelines. The following guidelines are provided for your reference. Our Company reviews each guideline at a minimum every two years, but may do so earlier if new scientific evidence or national standards are published. These …

Medical Necessity Criteria and Clinical Review Guidelines

https://www.medmutual.com/For-Providers/Medical-Necessity-Criteria-and-Clinical-Review-Guidelines

Medical Necessity Criteria and Clinical Review Guidelines. Care Management uses nationally recognized and accepted utilization management criteria, as well as …

Corporate Medical Policies - Medical Mutual of Ohio

https://www.medmutual.com/For-Providers/Policies-and-Standards/CorporateMedicalPolicies.aspx

Medical Mutual coverage decisions are benefit decisions only. Medical Mutual is not responsible for, does not provide and does not represent itself as a provider of medical …

Healthcare Providers | Medical Mutual

https://www.medmutual.com/For-Providers.aspx

Inpatient Admittance Forms. These forms are for non-contracting providers or providers outside of Ohio (including Aetna). Inpatient Medical Fax Form – Used when Medical …

Prior Approval and Investigational Services - Medical …

https://www.medmutual.com/For-Providers/Prior-Approval-and-Investigational-Services

Prior Approval and Investigational Services. Below is our Commercial and Medicare Advantage Prior Authorization CPT/HCPCS Code List for services and procedures. The …

Prescription Drug Resources | Medical Mutual

https://www.medmutual.com/For-Providers/Prescription-Drug-Resources

Medical Mutual and Express Scripts have developed a comprehensive, valued, and affordable prescription drug benefit that meets the prescription therapy needs of …

Intensity Modulated Radiation Therapy - Medical …

https://www.medmutual.com/-/media/MedMutual/Files/Providers/CorporateMedicalPolicies/200704_Intensity-Modulated-Radiation-Therapy.pdf

Clinical Practice Guidelines in Oncology. Version 1.2021. NCCN; 2021. • National Comprehensive Cancer Network (NCCN). Non-Small Cell Lung Cancer. Clinical Practice …

Clinical Practice Guidelines | NCCIH

https://www.nccih.nih.gov/health/providers/clinicalpractice

Clinical Practice Guidelines. “Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health …

Clinical Guidelines | Provider Hub | Provider …

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

Medical Oncology Musculoskeletal Post-Acute Care Radiation Oncology Radiology Sleep Specialty Drug Management Care Coordination Care Coordination Post-Acute Care Payment Integrity …

Evidence-Based Medicine and Clinical Guidelines

https://www.merckmanuals.com/professional/special-subjects/clinical-decision-making/evidence-based-medicine-and-clinical-guidelines

Although clinical guidelines may describe idealized practice, clinical guidelines alone cannot establish the standard of care for an individual patient. Some clinical guidelines …

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