The program also covers imaging services received in outpatient settings emergency room and observation settings are excluded. Ordering providers can request and obtain a pre-authorization online.
Aim Inform Aim Specialty Health
The AIM Radiology Solution is a radiology benefits management program that manages advanced imaging services and controls their escalating costs.
Aim specialty prior authorization form. If Urgent request please call AIM Please complete ALL information requested on this form incomplete forms will be returned to sender. CT scans MRIs PET scans MRAs and Nuclear Cardiology. 1 2021 in one of the following ways.
As the leading specialty benefits management partner for todays health care organizations we help improve the quality of care and reduce costs for todays most complex tests and treatments. AIM Specialty Health AIM a specialty benefits management organization manages Blue Cross of Idahos prior authorization requests for advanced imaging sleep management and musculoskeletal services. In this role she works closely with the leadership and solutions teams to provide clinical expertise for the expansion of our Genetic Testing Solution.
A The advanced diagnostic imaging studies requiring prior authorization under the program are. Start completing the fillable fields and carefully type in required information. The AIM Musculoskeletal Solution is a musculoskeletal benefits management program that addresses the rising use and costs of musculoskeletal care and pain management.
Use the ProviderPortal SM to accelerate your advanced imaging requests and get a response in real time 247. In short AIM Inform embeds right into the provider workflow requiring no additional log-ins to a separate technology for prior authorization or CMS compliance. Providers must make prior authorization requests through AIM for members on plans that require it.
AIM Specialty Health AIM. Prior authorization is required for certain procedures and services. Prior authorization is required for some membersservicesdrugs before services are rendered to confirm medical necessity as defined by the members health benefit plan.
A fast easy way to access AIM Specialty Health In a busy practice like yours you need to deliver quality appropriate care efficiently to your patients. AIM Specialty Health an independent company conducts utilization management as the delegated vendor for Advanced ImagingRadiology Sleep Disorder Management and Genetic Testing. And pain management physicians and surgeons for specialty-matched peer-to-peer consultations.
Karen is a board-certified Genetic Counselor with over 25 years of. Contact Person Fax. To register select your patients health plan from the drop-down menu.
At AIM Specialty Health AIM its our mission to promote appropriate safe and affordable health care. Radiology cardiology sleep oncology and specialty drugs. Contracted providers are financially liable for providing services that are medically unnecessary.
Information is available for both ordering and servicing providers. Q Is prior authorization required for emergency situations. When applicable for Jan.
AIM Inform is a qualified clinical decision support mechanism for the CMS Appropriate Use Criteria Program. Use Get Form or simply click on the template preview to open it in the editor. Servicing providers can inquire about an authorization as well as obtain pre-authorization prior to rendering services to a member.
Within the portal providers can also access the appropriate use criteria and receive. Leading the industry for more than 25 years our solution ensures clinically appropriate affordable advanced imaging studies through our evidence-based guidelines practice trends reporting and member engagement. How to use AIM Simple Process.
Use the Cross or Check marks in the top toolbar to select your answers in the list boxes. Submit prior authorization requests to AIM. By Phone Call the AIM Contact Center at 1-800-859-5299 Monday through Friday 6 am.
With AIM Inform the ordering physician can handle any clinical input while administrative staff will typically be needed only to input nonclinical details such as selecting an imaging facility. From case registration to authorization Case registration member identification and patient information Site selection directing service to high quality cost effective testing sites Case status authorization order summary preview updates. Prior authorization and post service medical necessity review for certain outpatient services.
Outpatient Prior Authorization CPT Code List 072 Prior Authorization Quick Tips. Quick steps to complete and e-sign Aim Specialty Prior Authorization Form online. Karen Lewis is the Solution Management Director for the Genetic Testing Solution for AIM Specialty Health AIM.
Online Submit requests via the AIM ProviderPortal 247. AIM is a specialty health benefits company that works with leading insurers to improve health care quality and manage costs for todays most complex and prevalent tests and treatments helping to promote care that is appropriate safe and affordable. Medical Technology Assessment Non-Covered Services List 400 AIM Specialty Health.
AIM Inform unifies and simplifies the prior authorization and CMS program workflow reducing the need for multiple administrative staff. We contract with AIM to manage the use of high-technology outpatient advanced imaging services clinical appropriateness guidelines for sleep disorder management and musculoskeletal. Prior authorization sometimes called preauthorization or pre-certification is a pre-service utilization management review.
To 6 pm CT. AIM Specialty Health AIM manages prior authorization for select services for Premera Blue Cross. AIM Specialty Health helps health care providers complete prior authorizations and meet new CMS medicare requirements.
The Provider Portal is an online platform where providers can obtain prior authorization for a variety of specialty care services including advanced imaging.
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