Georgia
Provider Communications
Updates to AIM advanced imaging clinical appropriateness guidelines
CT Chest guideline:
- Expanded list of diagnostic testing abnormalities that may be followed up with CT to include endoscopy, fluoroscopy, and ultrasound in addition to specific chest radiography findings
- Lengthening of timeframe required prior to imaging for chronic cough from 3 to 8 weeks, and more specifics of preliminary workup required prior to imaging
- Lower threshold for defining unexplained weight loss, and more explicit definition of preliminary workup required prior to imaging
- Allowance for use of imaging in the staging of malignancy prior to biopsy confirmation
- Allowance for imaging of suspected pulmonary embolism in pregnancy
- New criteria for appropriate imaging of chest wall mass
CT Angiography (CTA) Chest guideline:
- Allowance for imaging of suspected pulmonary embolism in pregnancy
CT Abdomen/CT Pelvis/CT Abdomen & Pelvis guideline:
- Lower threshold for defining unexplained weight loss, and more explicit definition of preliminary workup required prior to imaging
MRI Chest guideline:
- Inclusion of imaging of suspected pectoralis muscle tear
- New criteria for appropriate imaging of chest wall mass
MRI Abdomen guideline:
- Addition of hemochromatosis as an indication for imaging in pediatric patients
Ordering and servicing providers may submit prior authorization requests to AIM in one of the following ways:
- Access AIM ProviderPortalSM directly at 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 Web Portal at availity.com.
- Call the AIM Contact Center toll-free number: 866-714-1103, Monday–Friday, 8:00 a.m.–6:00 p.m. ET.
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 guidelines here.
Featured In:
August 2018 BCBSGa Provider Newsletter