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, …

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NIA’s guidelines are reviewed yearly and modified when necessary following a literature search of pertinent and established clinical guidelines and accepted diagnostic imaging practices.

How does the ordering provider obtain a prior authorization from NIA for a Medical Specialty Solutions outpatient service? Providers can request prior authorization via the internet (RadMD.com) or by …

RadMD is a user-friendly, real-time tool that provides you with instant access to the high-tech imaging authorization and supporting information you need, in an easily accessible internet format. Need help …

(“NIA”). The policies constitute only the reimbursement and coverage guidelines of NIA. Coverage for services varies for individual members in accordance with the terms and conditions of applicable …

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 …

Apr 21, 2022 · 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.

To expedite the process, please have the following information ready before logging on to https://www.RadMD.com or calling the Evolent (formerly National Imaging Associates, Inc. “NIA”) …

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 …