AIM
Code or keyword
What is - A New search feature in AIM for all the guidelines
DME.00044
What is a medical policy. (Wheelchair Mounted Robotic Arm)
These are bolded
Recovery Milestones
This type of guideline has BLOS
GRG
PG, MG, SC, PUL are examples of which guidelines
What are GRG guidelines
Review starting point (example- you're in imaging of the extremity guideline)
What is: The Table of contents to search guideline
The pathway to OMPTA Search
Pulse, Our Company, Healthcare Resources, Clinical Solutions, OMPTA, Ompta Community, search
Extended Stay and Common Complications are found in which type of guidelines
ISC's
The maximum number of ISC's you can use based on the main diagnosis drivers of the member
2
Another term for ORG
What is ISC
The 6 AIM Headings/Guidelines
Cardiology, Radiology, Sleep, Radiology Onc, Musculoskeletal, Rehab Services
3 places to find AIM guidelines link
Key Resources, or Clinical UM Guidelines, or using OMPTA search bar
Name the 4 variances
Positive, Medically necessary, Potentially avoidable, Does not apply
W0081
What is an Anthem Customized Guideline
Maximum number of GRG's you can use at any given time
1
Where are the Total Knee guidelines found
What is - Musculoskeletal- joint surgery
What is: State contract, MP, Ingenio, AIM, CG, MCG or InterQual
0-17 Yr Old
What is the age range for pediatric guidelines
Why would you use Extended Stay or Common Complications?
When there are variances or other health issues during the course of care and additional days / guidelines may be needed
The guidelines we license
ISC, GRG, RFC, CCG, BHG
Inpatient, Obs, OP, Ambulatory level of care guidelines are found here
Level of Care for Musculoskeletal Surgery and Procedures
Clicking Current on tree
What is - the way to refine your search of CG or MP to current guidelines, instead of historical CG/MP
The preferred guidelines in Anthem.
ISC
This type of guideline uses Stages
GRG
anthem9 / nine
what is the login to reach historical guidelines