Physical Medicine Solution

Our Physical Medicine solutions provide comprehensive utilization management programs designed to ensure that physical medicine services are delivered with consistent nationally recognized clinical guidelines.

Clinical guidelines, checklists and other tools specific to physical medicine providers can be accessed below. For health plan specific clinical guidelines, educational documents and other information, please log into RadMD.

Clinical Guidelines

• 2024 Physical Medicine Clinical Guidelines (Effective 7/1/2024)

Therapy

• Outpatient Habilitative PT and OT Therapy
• Outpatient Habilitative Speech Therapy
• Record Keeping and Documentation Standards: Physical Medicine

Chiropractic

• Chiropractic Infant Care Policy
• Plain Film X-rays
• Record Keeping and Documentation Standards: Chiropractic Care

 General

• Active Procedures in Physical Medicine
• Durable Medical Equipment
• Experimental Unproven Investigational Services
• Measurable Progressive Improvement
• Passive Treatment

MCG Guidelines®

• Please log into RadMD for more information.

Tip Sheets/Checklists

• Physical Medicine Tip Sheet/Checklist
• Physical Medicine Maintenance Therapy Episodic Care Tip Sheet