Apollo Managed Care Consultants

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.

Apollo Managed Care Consultants
 

List of reports from Apollo Managed Care Consultants

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Chronic Obstructive Pulmonary Disease (COPD)
4/1/2010 | published by: Apollo Managed Care Consultants
... 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.  |  more...
$55.00
Managing Physical/Occupational/Speech Therapy & Rehabilitation Care
1/2/2011 | published by: Apollo Managed Care Consultants
... as well as guidelines for adult and pediatric speech-language therapy, therapy-related DME, inpatient rehabilitation unit/hospital admission, continued stay, and discharge. Resources include the Oregon pediatric guidelines for rehab, example protocols, quality monitors, web sites and ...  |  more...
$275.00
Medical Review Criteria for Managing Care
1/2/2011 | published by: Apollo Managed Care Consultants
... 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 resource ...  |  more...
$675.00
Glossary of Medical Terms, Abbreviations and Acronyms
1/2/2011 | published by: Apollo Managed Care Consultants
Medicare, Managed Care, Vision Care and healthcare-related Legal terms & acronyms defined. Links to online glossaries.  |  more...
$19.99
Pain - Evaluation & Management
1/2/2011 | published by: Apollo Managed Care Consultants
Guidelines for pain evaluation/management tools and strategies. Anesthesia, complementary & alternative medicine, behavioral issues, pharmacologic therapy, outpatient/inpatient tests & procedures - evidence-based review criteria. References, resources, web links.  |  more...
$75.00
Risk Management and Safety Issues for Medical Practice
1/2/2011 | published by: Apollo Managed Care Consultants
Policies, procedures and information needed to meet many accreditation and certification visit standards, decrease medical liability risk and improve patient care. Consents for Care chapter with example consent forms. AHRQ resources. References and resources.  |  more...
$65.00
Complementary/ Alternative Medicine & Preventive Health Care (‘Wellness’) Guidelines
1/2/2011 | published by: Apollo Managed Care Consultants
CAM resources and clinical guidelines ++ Preventive health care (‘wellness’) guidelines listed by age, sex and the ‘Prevention of coronary artery disease & stroke’ guidelines. References, web sites.  |  more...
$99.00
Managing Post-acute Care & Extended Care Services
2/1/2011 | published by: Apollo Managed Care Consultants
... 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.  |  more...
$275.00
Radiology, Nuclear Medicine, Radiation Therapy
5/1/2011 | published by: Apollo Managed Care Consultants
Review criteria and clinical guidelines for radiology (including indications for MRI/CT), radiation therapy and nuclear medicine for benefit interpretations with useful references and related Web links.  |  more...
$65.00
Attention Deficit Hyperactivity Disorder (ADHD)
5/1/2011 | published by: Apollo Managed Care Consultants
Diagnosis, non-pharmaceutical and pharmaceutical management in children, adolescents and adults.  |  more...
$55.00
Disposable Medical Supplies/Durable Medical Equipment
5/1/2011 | published by: Apollo Managed Care Consultants
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.  |  more...
$65.00
Neurology and Neurosurgery - Clinical Review Criteria Guidelines
5/1/2011 | published by: Apollo Managed Care Consultants
... 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.  |  more...
$65.00
The Credentialing & Privileges manual
3/1/2012 | published by: Apollo Managed Care Consultants
... 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 ...  |  more...
$275.00
Managing Behavioral Healthcare
3/1/2012 | published by: Apollo Managed Care Consultants
... 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 ...  |  more...
$275.00
Utilization Management & Capitation Strategies
3/1/2012 | published by: Apollo Managed Care Consultants
... 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.  |  more...
$225.00
Managing Unplanned Readmissions
3/1/2012 | published by: Apollo Managed Care Consultants
Innovative strategies, tools required to improve care while avoiding any need for hospital readmission Extensive references, resources, web links. New 2011; updated for 2012  |  more...
$65.00
Obesity – Behavioral, Medical & Surgical Management, 2nd edition
3/1/2012 | published by: Apollo Managed Care Consultants
... for self-management of weight reduction, plus when needed, the prerequisites for drug or surgical management. This 205 page manual is primarily written for use by healthcare professionals. Extensive references and resources. 2nd edition: 2012 update.  |  more...
$75.00
Glossary of Managed Care Terms, Abbreviations & Acronynms, 4th ed
3/1/2012 | published by: Apollo Managed Care Consultants
... spelling, use of correct abbreviations, and definition of healthcare-related acronyms for any medical office staff or facility. Managed Care, Medicare, Vision Care plus common legal terms are defined. “Do Not Use” list of medical abbreviations.  |  more...
$9.98
Pain Management, 2nd edition
3/1/2012 | published by: Apollo Managed Care Consultants
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$75.00
Pay for Performance (P$P or P4P)
3/1/2012 | published by: Apollo Managed Care Consultants
P4P history, concepts, pros, cons, quality issues, example programs now functioning successful, Medicare plans for P4P compensation, extensive references, resources, web links, benchmarks.  |  more...
$55.00
Concierge or Retainer Medical Practice: How to Evaluate &Start a Retainer Practice
3/1/2012 | published by: Apollo Managed Care Consultants
... preventive services and practice amenities not available in a traditional practice. At the same time, when successful, physician income rises to several times the previous level. This publication contains the information needed to evaluate the ...  |  more...
$55.00
Medical Group Practice: Policies & Procedures
3/1/2012 | published by: Apollo Managed Care Consultants
... 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 ...  |  more...
$275.00
Disease State Management Strategies II. Clinical Guidelines for Behavioral Healthcare
3/1/2012 | published by: Apollo Managed Care Consultants
... 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 ...  |  more...
$250.00
Disease State Management Strategies I. Clinical Guidelines for Primary Care
3/1/2012 | published by: Apollo Managed Care Consultants
... related patient ed handouts + resource materials helpful for accreditation and to reduce variation while improving outcomes. Extensive references, resource materials, and related web sites are listed for all guidelines . Valuable evidence-based tools for ...  |  more...
$275.00
Infection Control in Ambulatory Care
3/1/2012 | published by: Apollo Managed Care Consultants
... 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.  |  more...
$65.00
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