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Physical Medicine Prior Authorization Provider Education Webinars
9/9/2019 • Posted by Provider Relations

Fidelis Care has engaged National Imaging Associates, Inc. (NIA) to implement a new authorization program to manage outpatient rehabilitative and habilitative physical medicine services, including services rendered in the home, for services rendered on or after October 1, 2019.

Services requiring prior authorization are: 

     •    Physical therapy services
     •    Occupational therapy services
     •    Speech therapy services


Fidelis Care and NIA welcomes providers to attend an upcoming provider education webinar to review this new authorization program. There will be several one-hour long webinar sessions that will take place on the dates listed via the link provided below.  You only need to attend one of these educational sessions.

Register for a Physical Medicine Prior Authorization Provider Education Webinar
 

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Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on numerous health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

Fidelis Care does not reward practitioners or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff that would encourage decisions that result in underutilization of services. 

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