Clinical Quality and Clinical Practice Guidelines

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.

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Clinical Practice Guidelines

• X-Ray Guidelines 
• Radiographic 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 
• Patient Assessments: Medical Necessity Decision Assist Guideline for Evaluations and Re-evaluations 
• Treatment Form Waiver Program 
• 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