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Milliman Care Guidelines(R) 2009 Release Emphasizes Efficiency, Quality Solutions
Date:4/7/2009

ions, and assignment of multiple diagnosis and procedure codes to an episode.

  • Expanded Authorization Guidelines - Among 42 new Ambulatory Care guidelines are three cancer chemotherapy agents, including trastuzumab (Herceptin(R)); five genetic medicine guidelines, including BRCA testing; assisted reproductive technology; three shoulder surgery guidelines, including adhesive capsulitis/frozen shoulder; and additional durable medical equipment guidelines, including specialty bed criteria.

  • Mapping to Quality Standards - New crosswalk documents outline exactly how the Care Guidelines support the accreditation requirements and quality improvement activities of national agencies, including NCQA, URAC, CMS, IHI and NQF.

  • Additional Strategic Alliances - The Care Guidelines are integrated with 30 care management programs from 25 Strategic Alliance Partners. In addition to established alliances with ACS MIDAS+, Allscripts, Landacorp(R)/SHPS(R), MEDecision(R) and TriZetto(R), integrations are on the way with programs from Altruista Health, CaseNet(R), Click4Care, Gaudette International Corporation, IMA Technologies, Pegasystems and ZeOmega.

  • New Neonatal Care Guidelines - New neonatal level of care guidelines add to coverage of Medicaid-specific issues.

  • New Patient Discharge Handouts - Provide information in simple layperson language about nutrition, activity level, self-care, problems to report, information sources and more.

  • Increased Problem Oriented Coverage - The Recovery Facility Care product adds c
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SOURCE Milliman Care Guidelines LLC
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