Welcome to RadMD. com | RADMD RadMD is a user-friendly, real-time tool offered by Evolent that provides ordering and rendering providers with instant access to prior authorization requests for specialty procedures Whether submitting exam requests or checking the status of prior authorization requests, providers will find RadMD to be an efficient, easy-to-navigate resource
Authorization Requirements - RadMD 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
RadMD: Online Access to Evolent RadMD is a user-friendly, real-time alternative or supplement to our call center Our system provides instant access to much of the prior authorization information that our call center staff provides Primarily designed for Imaging Facilities, Hospitals and Health Plans, logging on to RadMD can provide up-to-the-hour information on a member's authorization, including date called, date approved
National Imaging Associates, Inc. (NIA)* Radiation Oncology Solutions . . . What information does NIA require before a medical necessity review can be initiated for prior authorization determination? Radiation Oncologist should have all of the following informati n available before logging on to NIA’s website, https: www RadMD com or by When should requests for medical necessity review be submitted?
National Imaging Associates, Inc. * 2023 NIA Clinical Guidelines For . . . These medical necessity criteria were developed by National Imaging Associates, Inc (NIA) 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 NIAs guidelines are reviewed
2024 NIA Clinical Guidelines For Medical Necessity Review Guideline Development Process These medical necessity criteria were developed by National Imaging Associates, Inc (NIA) 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
National Imaging Associates, Inc. (NIA) Frequently Asked . . . - RadMD The following imaging procedures require prior authorization through NIA: CT CTA CCTA MRI MRA PET Scan Myocardial Perfusion Imaging MUGA Scan Stress Echocardiography Echocardiography Emergency room and inpatient imaging procedures do not require prior authorization from NIA If an urgent emergent emergency clinical situation exists outside of a hospital emergency room, please contact NIA
National Imaging Associates, Inc. (NIA) Medical Specialty Solutions . . . The following non-emergent, outpatient, Medical Specialty Solutions services require prior authorization through NIA effective February 1, 2022: • CT CTA • MRI MRA • PET Scan • CCTA • MUGA Scan • Myocardial Perfusion Imaging (MPI) Emergency room, observation and inpatient procedures do not require prior authorization from NIA If an urgent emergent clinical situation exists outside
National Imaging Associates, Inc. (NIA) Quick Reference Guide (QRG . . . Effective January 1, 2021 Revised July 27, 2023 National Imaging Associates, Inc (NIA) provides utilization management for outpatient rehabilitative and habilitative physical (PT), occupational (OT), and speech (ST) therapy on behalf of Ambetter from Superior HealthPlan (Ambetter) This program is consistent with industry-wide efforts to manage the increasing utilization of these services and