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EviCore Healthcare Musculoskeletal Program: Massage Therapy Clinical Worksheet 2019-2025 free printable template

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Musculoskeletal Program: Massage Therapy Clinical Worksheet Please use this fax form for MONUMENT requests only. Failure to provide all relevant information may delay the determination. Phone and
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How to fill out EviCore Healthcare Musculoskeletal Program Massage formrapy

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How to fill out EviCore Healthcare Musculoskeletal Program: Massage Therapy Clinical

01
Review the patient’s medical history and current symptoms.
02
Ensure that the patient's condition meets the criteria for massage therapy under the EviCore guidelines.
03
Gather documentation supporting the need for massage therapy, including any previous treatments and their outcomes.
04
Complete the required assessment forms accurately.
05
Submit the clinical information electronically through the EviCore portal.
06
Monitor for any follow-up requests or additional documentation needed from EviCore.
07
Await approval or feedback regarding the authorization of services.

Who needs EviCore Healthcare Musculoskeletal Program: Massage Therapy Clinical?

01
Patients experiencing musculoskeletal pain or dysfunction.
02
Individuals seeking adjunctive treatment for conditions like arthritis, fibromyalgia, or post-surgical recovery.
03
Those who have not responded to traditional treatments and therapies.
04
People requiring massage therapy as part of their overall pain management plan.
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The EviCore Healthcare Musculoskeletal Program: Massage Therapy Clinical is a program designed to manage and optimize the use of massage therapy for patients with musculoskeletal conditions, ensuring that treatments are evidence-based and clinically appropriate.
Providers who administer massage therapy as part of treatment for musculoskeletal conditions on behalf of patients covered by EviCore Healthcare are required to file for this program.
To fill out the EviCore Healthcare Musculoskeletal Program: Massage Therapy Clinical, providers must complete the designated forms, providing necessary patient information, treatment details, and any supporting documentation as per EviCore's guidelines.
The purpose of the EviCore Healthcare Musculoskeletal Program: Massage Therapy Clinical is to ensure that massage therapy is applied safely and effectively for musculoskeletal issues, improving patient outcomes while controlling costs.
Information that must be reported includes patient demographics, details of the musculoskeletal condition being treated, the proposed massage therapy plan, progress notes, and any previous treatment history relevant to the condition.
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