Alcantara Montero and Sanchez Carnerero (2016) stated that FSD is a broad term used to describe 3 categories of disorders of a multi-factorial nature. Effective, but limited pharmacotherapies exist to address FSD. The FDA recently approved the first agent for treatment of hypoactive sexual desir...
Aetna considers orthognathic surgery experimental, investigational, or unproven for all indications other than those listed above because their effectiveness for indications other than the ones listed above has not been established. Note:Precertification requests or claims for orthognathic surgery are subject...
California insurance commissioner Dave Jones has launched an investigation into Aetna after its former medical director, Jay Ken Iinuma, said under oath that he never looked at patients' medical records when deciding whether to approve or deny claims. By Erin Dietsche MedCity News Daily Newsletter...
Effective medical billing is crucial for the financial health of healthcare providers. It ensures that healthcare services are accurately coded, claims are submitted promptly, and reimbursements are received in a timely manner. However, not all medical billing companies are created equal, and healthca...
Request for Prescription Medications Non-Specialty drug Prior Authorization Requests Fax: 1-877-269-9916 Specialty drug Prior Authorization Requests Fax: 1-888-267-3277 OR, Submit your request online at: www.availity.com Visit www.aetna.com/formulary to access our Pharmacy Clinical Policy Bulletins...
Aetna considers allergy immunotherapy experimental, investigational, or unproven for all other indications. Other Treatments Aetna considers the following treatments medically necessary: Rapid desensitization (also known as rush, cluster, or acute desensitization) ...
However, these claims are not supported by well controlled randomized studies. Coblation devices such as the Topaz Microdebrider (ArthroCare, Sunnyvale, CA) are also being studied for their use in treating musculoskeletal conditions. In a prospective, non-randomized consecutive case series, Tasto ...
First, IVUS use was identified using claims codes, and how it was incorporated into the procedure could not be discerned. Although the use of claims codes to define the primary exposure can result in mis-classification, appropriate and accurate billing is needed for reimbursement and likely ...
analysis of falls is complex. Using claims data, these researchers controlled for no history of fall-related injuries during the 12-month period before index HL diagnosis but were not able to control for other fall-related factors. Finally, these data came from a private insurance database that...
Digital medicine interventions are currently transforming health care and have created new efficiencies in the delivery process. The business model along with physician payment models are crucial drivers for the adoption of innovations. In the U.S., phys