Effective for dates of service on and after March 14, 2021, the following updates will apply to the AIM Specialty Health® (AIM) Advanced Imaging of the Heart and Diagnostic Coronary Angiography Clinical Appropriateness Guidelines.

 

Evaluation of patients with cardiac arrhythmias:

  • Updated repeat transthoracic echocardiography (TTE) criteria
  • Added restrictions for patients whose initial echocardiogram shows no evidence of structural heart disease, and follow-up echocardiography is not appropriate for ongoing management of arrhythmia

 

Evaluation of signs, symptoms or abnormal testing:

  • Added restrictions for TTE in evaluation of palpitation and lightheadedness based on literature

 

Diagnostic coronary angiography:

  • Updated criteria to evaluate patients with suspected congenital coronary artery anomalies

 

As a reminder, ordering and servicing providers may submit prior authorization requests to AIM in one of several ways:

  • Access AIM’s ProviderPortalSM directly at https://providerportal.com.
  • Online access is available 24/7 to process orders in real-time, and is the fastest and most convenient way to request authorization.
  • Access AIM via the Availity* Portal at https://www.availity.com. Call the AIM Contact Center toll free at 800-714-0040 from 7:00 a.m. to 7:00 p.m.

             

For questions related to guidelines, please contact AIM via email at aim.guidelines@aimspecialtyhealth.com. Additionally, you may access and download a copy of the current and upcoming guidelines here.

 

ABSCRNU-0180-20



Featured In:
January 2021 Anthem Connecticut Provider News