Administrative Services Only/Utilization Management Solution
With NIA's standard Utilization Management solution (also referred to as ASO - "Administrative Services Only") for radiology benefits management, you tap into the power to manage high-growth, high-cost and high-risk areas of health care. By applying industry-leading clinical expertise, insights and resources, we safeguard the clinical value of each diagnostic imaging study while you achieve quantifiable improvements in quality, safety and affordability.
Our best-in-class ASO/UM solution offers you access to NIA's unmatched clinical expertise and data analytics. And for those customers interested in taking their program cost savings, and results to the next level, our Full-Service Solution provides you with the greatest competitive advantage.
Available Solutions (ASO/UM and Full-Service)
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Solution Features |
Description |
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Medical Necessity Review and RadMD (provider online tools) |
Medical necessity review, clinical protocols, radiation awareness and user-friendly, efficient provider tools |
|
Provider Training and Education |
Extensive education for ordering providers, rendering providers and hospitals |
|
Network Build, Credentialing and Privileging |
Customized NIA imaging network to meet market needs Targeted recruitment list and rate strategy for providers Credentialing of imaging providers Privileging of providers |
|
Facility Site Selection |
Moving services from higher cost outpatient hospital facilities to more cost-effective, free-standing facilities, based on access and cost criteria |
|
Customized portal - integrated with your member portal Concierge services - high-touch scheduling and facility selection with full transparency Radiation calculator Cultural assessment Customized materials |
|
|
Customized, Proprietary Claim Edits |
Industry standard and NIA proprietary edits |
To find out more about our Administrative Services Only or Full-Service solutions for advanced imaging, please contact us.