Clinical Quality and Clinical Practice Guidelines

To access Physical and Occupational Therapy Clinical Quality and Clinical Practice Guidelines, go to Physical and Occupational Therapy Clinical Quality and Clinical Practice Guidelines.

For all other Specialties, please see below.

American Specialty Health’s (ASH’s) clinical quality management program is designed for organizational support and improves process, service, and clinical quality management activities in accordance with the corporate vision and mission.   For more information about ASH’s clinical quality management standards please use the links below.

To view and/or print pdf documents you will need Acrobat Reader installed.

Clinical Practice Guidelines

• X-Ray Guidelines
• Radiogaphic Quality and Safety Parameters
• Medical Record Documentation Policy
• Clinical Guidelines and Criteria
• Technique/Procedure Clinical Practice Guidelines
• Techniques and Procedures Not Widely Supported As Evidence-Based
• Payor Exceptions to ASH Guidelines

Credentialing and Office Facility Requirements

• Credentialing Program
• Provider Accessibility Standards
• Office Facility Requirements and Resources

Medical Necessity (UM) Review

• Utilization Management Guidelines
• Affirmative Statement : No Incentives for UM Denial
• Medical Necessity Definition
• Medical Necessity Decision Assist Guideline for Musculoskeletal Conditions and Somatic/Neuropathic Pain Disorders
• Medical Necessity Decision Assist Guideline for Musculoskeletal Conditions and Somatic/Neuropathic Pain Disorders Involving Occupational Injuries
• Patient Assessments: Medical Necessity Decision Assist Guideline for Evaluations and Re-evaluations
• Clincal Performance System
• Use of Industry Standard Code Sets

Clinical Quality Management

• Committee Structure
• Quality Patient Management
• Patient Safety – The Prevention, Recognition, and Management of Adverse Outcomes
• Management of Urgent Clinical Concerns
• Management of Suspected Abuse/Neglect Cases
• Practice Parameters and Review Criteria
• Technology Assessment Process
• Participation in Public Events
• Selected Lists of References by Specialty