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This document serves as a provider data collection tool for pre-certifying cochlear implants and auditory brainstem implants based on Anthem's medical policies.
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How to fill out provider data collection tool
How to fill out Provider Data Collection Tool Based on Anthem Corporate Medical Policy SURG.00014
01
Start by gathering all relevant patient data as required by the Provider Data Collection Tool.
02
Review the Anthem Corporate Medical Policy SURG.00014 for specific guidelines and criteria relevant to the data collection.
03
Fill out patient demographics including name, date of birth, and contact information in the respective fields.
04
Include medical history, including any previous surgeries, comorbidities, and current medications.
05
Document the specific procedure being requested and ensure it aligns with the SURG.00014 policy requirements.
06
Attach any necessary supporting documents, such as clinical notes and test results.
07
Review all entries for accuracy and completeness before submitting the form.
08
Submit the completed Provider Data Collection Tool to the appropriate department for review.
Who needs Provider Data Collection Tool Based on Anthem Corporate Medical Policy SURG.00014?
01
Healthcare providers who are submitting requests for surgical procedures covered under Anthem Corporate Medical Policy SURG.00014.
02
Administrative staff responsible for gathering patient data and ensuring compliance with Anthem policies.
03
Medical professionals involved in the evaluation and approval of surgical requests.
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People Also Ask about
What are medical policies and clinical guidelines?
Medical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. These documents are available to you as a reference when interpreting claim decisions.
What do you mean by Clinical practice guidelines?
“Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.”( Institute of Medicine, 1990)
What is the medical definition of guidelines?
Guidelines summarize the current medical knowledge, weigh the benefits and harms of diagnostic procedures and treatments, and give specific recommendations based on this information.
What is the meaning of medical guidance?
Guidelines help doctors understand the best ways to diagnose, treat and even prevent diseases and conditions. Guideline recommendations are based on the strongest available scientific evidence.
What are the medical clinical guidelines?
a. Definition: Clinical practice guidelines are statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options.
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What is Provider Data Collection Tool Based on Anthem Corporate Medical Policy SURG.00014?
The Provider Data Collection Tool is a standardized instrument designed to gather essential data related to surgical procedures and provider qualifications, as specified by Anthem's corporate medical policy SURG.00014.
Who is required to file Provider Data Collection Tool Based on Anthem Corporate Medical Policy SURG.00014?
Providers who deliver surgical services and are required to comply with Anthem's medical policies are obligated to file the Provider Data Collection Tool.
How to fill out Provider Data Collection Tool Based on Anthem Corporate Medical Policy SURG.00014?
To fill out the tool, providers need to access the form, provide accurate patient data, complete all sections as outlined in the instructions, and submit it electronically or via the specified submission method.
What is the purpose of Provider Data Collection Tool Based on Anthem Corporate Medical Policy SURG.00014?
The purpose of the tool is to ensure the collection of relevant data to assess surgical procedures' appropriateness, outcomes, and adherence to medical policies, thereby improving patient care and compliance.
What information must be reported on Provider Data Collection Tool Based on Anthem Corporate Medical Policy SURG.00014?
The information that must be reported includes patient demographics, details about the surgical procedure, provider credentials, outcomes, and any complications experienced during or after the surgery.
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