![]() ![]() Copies of the Carelon Clinical Appropriateness Guidelines are also available upon oral or written request. Carelon reviews all of its Guidelines at least annually.Ĭarelon makes its Guidelines publicly available on its website twenty-four hours a day, seven days a week. Relevant citations are included in the References section attached to each Guideline. The Carelon guideline development process complies with applicable accreditation standards, including the requirement that the Guidelines be developed with involvement from appropriate providers with current clinical expertise relevant to the Guidelines under review and be based on the most up-to-date clinical principles and best practices. To promote the most efficient and cost-effective use of services To curtail the performance of inappropriate and/or duplicate services To encourage standardization of medical practice patterns To assist the practitioner as an educational tool To establish criteria for when services are medically necessary (i.e., in general, shown to be effective in improving health outcomes and considered the most appropriate level of service) In the process, multiple functions are accomplished: As used by Carelon, the Guidelines establish objective and evidence-based criteria for medical necessity determinations where possible. The Carelon Clinical Appropriateness Guidelines (hereinafter “the Carelon Clinical Appropriateness Guidelines” or the “Guidelines”) are designed to assist providers in making the most appropriate treatment decision for a specific clinical condition for an individual. History Description and Application of the Guidelines Simultaneous Ordering of Multiple Diagnostic or Therapeutic Interventions All rights reserved.ĭescription and Application of the Guidelines © 2023 Carelon Medical Benefits Management, Inc. Please consult the applicable health plan for more details.Īppropriate Use Criteria: Imaging of the Spine doi:10.11604/ and implementation dates for specific health plans may vary. Chronic neck pain and anxiety-depression: prevalence and associated risk factors. Lbinoune I, Amine B, Shyen S, Gueddari S, Abouqal R, Hajjaj-Hassouni N. Does Postural Awareness Contribute to Exercise-Induced Improvements in Neck Pain Intensity? A Secondary Analysis of a Randomized Controlled Trial Evaluating Tai Chi and Neck Exercises. Lauche R, Wayne PM, Fehr J, Stumpe C, Dobos G, Cramer H. Current diagnosis and treatment of anxiety disorders. ![]() 2012 (1):18-24.īystritsky A, Khalsa SS, Cameron ME, Schiffman J. Academica Science Journal, Psychologica Series. The Correlation between Chronic Cervicalgia and Anxiety and Depression Disorders. History, physical examination, and differential diagnosis of neck pain. Synergistic Effect of Physical Therapy Plus Pharmacological Therapy with Eperisone in Tension-Type Cervicalgia. Neurotological Findings at a Health Unit for Adults with Cervicalgia. Zeigelboim BS, Fonseca VR, Mesti JC, Gorski LP, Faryniuk JH, Marques JM. The 5-Minute Clinical Consult (20th Edition). Epidemiology, diagnosis, and treatment of neck pain. ![]()
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