Apollo Managed Care, Inc.
Apollo Managed Care Consultants is the publisher of medical policy and procedure manuals, review criteria, guidelines, credentials and privileging tools and helpful strategic initiatives for managing care by medical groups, IPAs, MSOs, HMOs, PPOs and hospitals.
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List of reports from Apollo Managed Care, Inc.
The Credentialing & Privileges Manual
1/1/2013 | published by: Apollo Managed Care, Inc.
... Health systems, health plans, hospitals and medical groups use the Credentialing and Privileges Manual to design and implement exemplary credentialing and privileging programs for physician and non-physician clinical practitioners. This manual is focused on criteria ...
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$550.00
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Disease State Management Strategies II. Clinical Guidelines for Behavioral Healthcare
1/1/2013 | published by: Apollo Managed Care, Inc.
... Anxiety/phobias/panic disorders including PTSD, Personality disorders, Impulse control, Conduct, Oppositional defiant disorders and Schizophrenia. Extensive references, resource materials, and related web sites follow each guideline. Useful tools for accreditation and quality improvement strategies. Updated as ...
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$525.00
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Astma
1/1/2013 | published by: Apollo Managed Care, Inc.
Clinical evaluation and management guideline. Authoritative references. Resources include patient/parent instruction sheets and education aids, national guideline summaries and web links. Updated annually.
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$119.00
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Alcohol/Substance Abuse & Dependency, 3rd edition
1/1/2013 | published by: Apollo Managed Care, Inc.
2013 update: 95 pp – covers all aspects of screening, evaluation and therapy including criteria for outpatient vs inpatient therapy options. References, resources. Updated annually
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$119.00
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$129.00
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Pain Management
1/1/2013 | published by: Apollo Managed Care, Inc.
Chronic pain management guidelines, tools and strategies. Review criteria guidelines for orthopedic and rheumatology tests, procedures + extensive references, resources.
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$149.00
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$149.00
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Pay for Performance (P4P)
1/1/2013 | published by: Apollo Managed Care, Inc.
Evolution from physician profiles and report cards, concepts, pros, cons, quality issues, example programs now functioning successfully, Medicare plans for P4P compensation program, extensive references, resources, web links, benchmarks.
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$119.00
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Managing Unplanned Readmissions
1/1/2013 | published by: Apollo Managed Care, Inc.
Innovative strategies, tools required to improve care while avoiding any need for hospital readmission Extensive references, resources, web links.
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$129.00
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Infection Control in Ambulatory Care
1/1/2013 | published by: Apollo Managed Care, Inc.
... meet OSHA, Joint Commission, NCQA and other standards for accreditation and certification visits in a medical office or an ambulatory care setting. Resources include forms, OSHA standards, Surgical safety checklist; web links, references. Updated annually.
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$129.00
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Medical Staff Peer Review
1/1/2013 | published by: Apollo Managed Care, Inc.
Policies & procedures needed by every medical group, hospital and health plan + peer:staff, peer:peer evaluation tools, references. Updated annually.
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$129.00
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$129.00
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Neurology and Neurosurgery
1/1/2013 | published by: Apollo Managed Care, Inc.
... criteria guidelines for outpatient and inpatient tests and procedures with indications, medical necessity coverage criteria, authoritative references and resources ++ Alzheimer disease & ADHD page clinical guidelines - both with extensive references and resource materials.
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$149.00
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Medical Review Criteria for Managing Care
1/1/2013 | published by: Apollo Managed Care, Inc.
... stay benchmarks. Payment criteria. Extensive authoritative references. “The Bible” for health plan and Medicare benefit interpretations. Critical resource for provider education and claims management, as well as traditional UM. The most comprehensive review criteria guideline ...
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$1,275.00
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Managing Physical/Occupational/Speech Therapy & Rehabilitation Care
1/1/2013 | published by: Apollo Managed Care, Inc.
... home care are listed as well as review criteria guidelines for inpatient rehabilitation unit/hospital admission, continued stay, and discharge. References. Resources include example protocols and quality monitors throughout including the Oregon Pediatric guidelines for rehabilitation.
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$750.00
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Managing Behavioral Healthcare manual
1/1/2013 | published by: Apollo Managed Care, Inc.
... care management approach as well as coverage determinations. The manual also contains numerous policies, procedures, tools and forms vital to prepare for accreditation or certification surveys and strategies for quality-based efficient delivery of integrated behavioral ...
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$550.00
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Medical Group Practice: Policies & Procedures
1/1/2013 | published by: Apollo Managed Care, Inc.
... record and consent policies and procedures. Designed for modification to adapt to local practices and contract terms. Numerous forms, examples and other helpful tools. Resources include example materials to establish and measure practice metrics including ...
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$550.00
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$550.00
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Utilization Management & Capitation Strategies
1/1/2013 | published by: Apollo Managed Care, Inc.
... other variations of traditional capitation compensation strategies are detailed including those for emergency services. Utilization management program P & Ps. Precertification resources. Numerous forms, audit tools, and benchmarks. Job descriptions. References and resources. Updated 2012.
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$450.00
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Managing Post-acute Care & Extended Care Services
1/1/2013 | published by: Apollo Managed Care, Inc.
... in a subacute unit, SNF, hospice, ambulatory care and/or the home. Review criteria guidelines/benefit ‘interps’. Resources include numerous forms, coverage information, Medicare average LOS by DRG, authoritative references, plus stroke, cardiac and pulmonary rehabilitation guidelines.
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$450.00
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$119.00
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$195.00
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$119.00
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Chronic Obstructive Pulmonary Disease (COPD)
1/1/2013 | published by: Apollo Managed Care, Inc.
... and management of COPD and obstructive sleep apnea. Evidence-based criteria for screening, tests, and treatments including lung transplantation, smoking cessation programs, durable medical equipment and oxygen are described. Authoritative references and resources with web links.
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$119.00
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Disposable Medical Supplies/Durable Medical Equipment
1/1/2013 | published by: Apollo Managed Care, Inc.
... UM resource tool. Hundreds of specific review criteria for supply and DME Items, plus an alpha list with explanatory recommendation for basis to deny or approve for payment based on usual coverage 'medical necessity' determinations.
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$131.00
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