National Imaging Associates, a Magellan Health Services Company
Welcome to RADMD

Health Plans

Horizon NJ Health

Welcome to the Horizon NJ Health page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Web site to obtain and check authorizations.

Announcement-Effective December 1, 2013
UPDATE: Effective 12/1/13: Cardiac Imaging studies for CCTA, Stress Echocardiography, Echocardiography, Cardiac Catheterization and Implantables, select Primary Radiology procedures and Radiation Oncology Management for Cancer Conditions Only.  Radiation Therapy for dates of service 12/1/13 and beyond will require Prior Authorization from NIA. To prior authorize these services you may call NIA at 1-800-642-7299 or log onto www.RadMD.com. Please refer to the below utilization review matrix to ensure which procedures require prior authorization.

Radiology Benefit Management

  • Clinical Guidelines
  • Refer to the Utilization Review Matrix document to view specific codes managed by NIA

Medical Specialty Educationl Documents

Cardiac

Cardiac Management Guidelines
Cardiac Educational Documents

Radiation Oncology Benefits Management

Radiation Oncology Checklists
NIA Radiation Oncology Coding Standards
Radiation Oncology Management Educational Documents

Ultrasound Management


Ultrasound Management Guidelines

Medical Specialty Educational Documents


 


 

RadMD User References