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Clinical UM Guideline Subject: Guideline #: Status: Biologics for Psoriasis and Psoriasis Arthritis CGDRUG12 Revised Current Effective Date: Last Review Date: 10/22/2008 08/28/2008 Description (,
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Clinical UM guideline is a set of evidence-based recommendations and standards that health care professionals follow to ensure appropriate and cost-effective utilization of medical services and treatments.
Health care organizations and insurers are usually required to file clinical UM guidelines.
Filling out a clinical UM guideline typically involves documenting the recommended medical practices, treatment procedures, and criteria for approval or denial of specific treatments or services.
The purpose of clinical UM guidelines is to provide a framework for healthcare professionals, ensuring they make informed decisions based on best available evidence, improve patient outcomes, and control costs.
Clinical UM guidelines typically include information such as recommended treatments, diagnosis codes, criteria for medical necessity, and any specific requirements for pre-authorization.
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