The AIM Radiology Solution is a radiology benefits management program that manages advanced imaging services and controls their escalating costs.
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. Our Radiology Solution helps your providers determine the most appropriate advanced imaging study for your members, reducing unnecessary testing and associated expenses.
Our Radiology Solution can recommend quality, affordable imaging facilities to providers during the image-ordering process or guide members directly to those settings through outreach. When merged with Specialty Care Shopper SM , our Radiology Solution engages members during the health care decision-making process, informing them of high-value imaging facilities in their area.
It can identify the most appropriate care for your members or direct your providers to a peer-to-peer conversation with our physicians. Autoreviews the request for clinical appropriateness, using clinical criteria, your policy, or both. Clinicians are available for cases that do not meet clinical criteria.
An experienced team of physicians and nurses lead and support our Radiology Solution. It also reinforces your clinical credibility and accelerates acceptance among your providers. In his role, Dr. Buckle is responsible for defining the clinical strategy of our flagship solution. Contact us. Clinical Guidelines and Pathways. Review our Clinical Guidelines for Radiology. Better management for the detection of common, complex conditions The AIM Radiology Solution is a radiology benefits management program that manages advanced imaging services and controls their escalating costs.
Imaging Tests Indications We address common and costly imaging tests. We address common indications for imaging tests. Examples Abdominal pain Back pain Pulmonary embolism Tumor. Protect your members Our Radiology Solution helps your providers determine the most appropriate advanced imaging study for your members, reducing unnecessary testing and associated expenses. The Prior Authorization component of Highmark's Radiology Management Program will require all physicians and clinical practitioners to obtain authorization when ordering selected outpatient, non-emergency, diagnostic imaging procedures for certain Highmark patients This authorization requirement doesn't apply to emergency room or inpatient scans.
As of September 1, the Prior Notification component of Highmark's Radiology Management Program will require all physicians and clinical practitioners to obtain prior notification when ordering stress echocardiography. This authorization requirement doesn't apply to emergency room or inpatient scans. Please review this material and be prepared to contact NIA Magellan - the imaging management firm that is supporting the program - before ordering the select diagnostic imaging procedures.
Effective Oct. Back to Radiology Management Home Page. Contact Us. Provider Directory. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Quick Links: Manuals.
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