Clinical Guidelines Musculoskeletal

Radiology

AIM Clinical Appropriateness Guidelines for Musculoskeletal

The foundation of our solution platform for specialty benefits management is our clinical appropriateness guidelines.

AIM Clinical Appropriateness Guidelines for Musculoskeletal are developed through a rigorous process integrating evidence-based literature with expert physician review. Included below are guidelines for spine surgery, joint surgery, and interventional pain management.



AIM CLINICAL APPROPRIATENESS GUIDELINES FOR SPINE SURGERY

The interventions addressed in the AIM Clinical Appropriateness Guidelines for Spine Surgery include bone grafts, bone growth stimulators, foraminotomies, fusions, laminectomy, discectomy, disc arthroplasty, treatment of spinal deformity, and vertebroplasty and kyphoplasty.

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COMING SOON: Guideline enhancements effective July 1, 2018.

AIM Clinical Appropriateness Guidelines for Spine Surgery

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COMING SOON NEW GUIDELINE: AIM Clinical Appropriateness Guidelines for Sacroiliac Joint Fusion



AIM Clinical Appropriateness Guidelines for Sacroiliac Joint Fusion

The intervention addressed in the AIM Clinical Appropriateness Guidelines for Sacroiliac Joint Fusion represents recent advances in minimally invasive techniques.

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AIM CLINICAL APPROPRIATENESS GUIDELINES FOR JOINT SURGERY

The interventions addressed in the AIM Clinical Appropriateness Guidelines for Joint Surgery include total replacement of the hip, knee, and shoulder; arthroscopy of the hip, knee, and shoulder; treatment of osteochondral defects; and meniscal allograft transplantation.

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AIM CLINICAL APPROPRIATENESS GUIDELINES FOR INTERVENTIONAL PAIN MANAGEMENT

The interventions addressed in the AIM Clinical Appropriateness Guidelines for Interventional Pain Management include epidural steroid injections; paravertebral facet injection, nerve block, and neurolysis; sacroiliac steroid injections; spinal cord stimulators; and regional sympathetic nerve block.

OPEN THE GUIDELINES FOR INTERVENTIONAL PAIN MANAGEMENT

COMING SOON: Guideline enhancements effective July 1, 2018.

AIM Clinical Appropriateness Guidelines for Interventional Pain Management

OPEN THE GUIDELINES FOR Interventional Pain Management





AIM LEVEL OF CARE GUIDELINES FOR MUSCULOSKELETAL SURGERY AND PROCEDURES

The intent of this guideline is to assist in determining the appropriate level of care needed to safely and effectively perform the planned spine or joint surgical procedure. In addition to the guideline requirements, AIM will also consider the geographical proximity, availability, and capability of in-network facilities and the requesting provider's existing surgical privileges status.

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AIM PREOPERATIVE ADMISSION GUIDELINES FOR MUSCULOSKELETAL SURGERY AND PROCEDURES

The intent of this guideline is to assist in determining the appropriate indications for hospital admission prior to elective musculoskeletal surgical procedures. The guideline does not apply to fractures, infections, tumors, or other emergent non-elective cases.

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The Level of Care and Preoperative Admission guidelines do not address the clinical appropriateness of a procedure. The AIM prior authorization process for clinical appropriateness of the surgical procedure is completed separately and precedes the level of care determination.



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