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Comprehensive healthcare policy and procedure manuals, review criteria/benefit interpretation guidelines, clinical guidelines for primary and behavioral healthcare, credentials and privileging tools and helpful initiatives for managing medical and behavioral health care. Apollo criteria and guidelines are evidence-based using national standards and are continuously updated as new clinical information becomes available. Apollo provides e-mail support for one year following purchase without charge.
Medical Review Criteria Guidelines for Managing Care,
(7th edition, 2008) - An
important 2-volume resource to improve care and cost-savings for
utilization management and claims departments. 1,225
pages include more than 1,600 detailed clinical review criteria guidelines
listing specific indications for medically
necessary ambulatory care or inpatient tests and procedures. Extensive
references follow each guideline. Resources include LOS
benchmarks by DRG for Medicare, commercial and Medicaid populations. Outpatient
procedure list. "The Bible" for health plan benefit interpretation guidelines. This is a critical comprehensive resource for
clinical review determinations. Link to the contents
list, call or e-mail for more information or example pages. Updated
continuously as new information from authoritative resources becomes
available. Mid-year update now shipping. $675.
** Order both Apollo's Medical Staff Peer Review
and the Credentialing and Privileges manual for $325 ** Disease State Management Strategies I. Clinical Guidelines for Primary Care, 2nd edition (update/revision 2008) - These guidelines are valuable tools for health plans and medical groups who wish to reduce variation in care and improve quality for primary care services and in preparation for accreditation surveys. Detailed medical (asthma, COPD, diabetes, hypertension, smoking cessation, cardiovascular disease prevention, hormonal therapy, heart failure) and obstetrical (LOS and prevention of preterm deliveries) care protocols plus preventive health care standards by age and sex with 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 included for all guidelines . Useful for accreditation and quality improvement strategies. Updated as new information becomes available to Apollo. 602 pp. $275.
Disease State Management Strategies II. Clinical Behavioral Health Guidelines,
2nd edition
(update 2008)
- Valuable
clinical guidelines for the effective management of common, costly
behavioral health disorders including Attention-deficit Hyperactivity Disorder (ADHD),
Alzheimer’s disease, Alcohol/substance abuse and dependency, Major depression,
Bipolar, Obsessive-compulsive, and 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 new
information becomes available. 406 pp. $275. *** Save all shipping and handling costs for any Apollo publication - place an order for immediate delivery as an e-mail attachment in either MS Word or Adobe pdf .*** Medical Staff Peer Review, 3rd edition, update 2008 - The information and tools needed for an effective peer review program by any medical organization - includes policies & procedures, competency and behavioral assessment tools and strategies, Committee structure, medical staff resources, legal resources and web links. Managing the disruptive physician and/or other healthcare providers is a renewed Joint Commission focus. Extensive references, resources. 116 pp. Click on title to link to the complete contents list. $65. Healthcare Performance Improvement: Plans, Procedures & Policies - strategies, example plans, programs, forms, tools, and resources needed for an effective quality and performance improvement program in a medical group, hospital or health plan. 157 pp. New 2006, updated 2008. Click on title to link to the complete contents list. $65. Pay for Performance (P4P) update 2008 - P4P history, concepts, pros, cons, quality issues, example programs now functioning successful, Medicare plans for P4P compensation, extensive references, resources, web links, benchmarks. 94 pp. Click on title to link to the complete contents list. $55. ** Get both P4P and Healthcare Performance Improvement for a total of $100.00 (plus S/H) ** Speech-Language Therapy Review Criteria Guidelines - What's covered, what's not. Comprehensive clearly written guidelines for adult & pediatric speech-language pathology therapy + related tests, DME and hearing-related therapy & procedures with authoritative references/resources including informative speech-language web links. 106 pp. New 2006, update 2008 Click on title to link to the complete contents list. $65. Obesity - Behavioral, Medical, and Surgical Management, 2nd edition: Effective overweight and obesity treatment requires a triad of behavioral, nutritional and physical activity modifications. A basic program is clearly presented that includes information for self-management of weight reduction, plus when needed, the prerequisites for drug or surgical management. This 195 page manual is primarily written for use by healthcare professionals. Extensive references and resources. 2008 update. Click on title to link to the complete contents list. $65. Emergency Care Management: (2008 update) A 86-page toolbox of guidelines, benefit interpretations, policies and procedures for the effective management of appropriate and medically necessary emergency and urgent care services. Includes strategies for after-hours, emergency care, plus review criteria guidelines to develop an effective after-hours and emergency care program that will provide quality-driven care and meet most coverage determinations. References and resources include links to emergency care protocols and guidelines and other web resources. Click on title to link to the complete contents list. $55. Pain Management, 2nd edition (2008 update): The challenges of managing pain; classification of pain, pain measurement; health plan coverage for common tests, procedures, and treatment including complementary/alternative medicine, conventional drug therapies, opioids; patient consents, patient-provider contracts; provider credentialing; pain rehabilitation programs + anesthesia, orthopedic and rheumatology tests and procedures to manage acute and chronic pain syndromes. Resources and references from the medical literature and other authoritative resources. Pain management related web links. 230 pages. Updated annually. Click on title to link to the complete contents list. $65. Complementary and Alternative Medicine/ 'Wellness' Guideline, 2nd edition: A toolbox of general information, guidelines and benefit interpretation for the effective clinical and resource management of alternative medicine and preventive health care services. Includes alternative medicine clinical review criteria guidelines, resources, references, web sites ++ preventive health care ('Wellness') guidelines listed by age & sex and the Prevention of coronary artery disease & stroke guideline - all with resources and references. 237 pages. Updated annually. Click on title to link to the complete contents list. $65. Stroke and Cardiac Rehabilitation: 170 pages. Stroke and cardiac rehab clinical review criteria guidelines for ambulatory care, inpatient admission, continued stay and discharge; plus clinical care and prevention guidelines, resources and related web sites. 2006 update. Click on title to link to the complete contents list. $65. Medical Back Office Management, 2nd edition: Policies, procedures, and operations strategies for managed care practices, including medical office site/accreditation visit preparation checklist – designed to improve efficiency as well as physician, staff and patient satisfaction. Author is a former medical director. 155 pages. Updated 2008. Click on title to link to the complete contents list. $65. Risk Management, and Safety: Policies and procedures to meet 'best practices' as well as accreditation and certification standards for risk management and safety issues in ambulatory care. Consents for Care - numerous examples. Reference and resources. Example forms. Web sites. 116 pages. Updated 2007. Click on title to link to the complete contents list. $65. Case or Care Management, 2nd edition – 146 pp. of policies, procedures and strategies that ‘work’ to improve quality, efficiency of care while controlling unnecessary costs. Specific case management effectiveness data by disease entity and behavioral healthcare conditions. Forms. Patient Handouts. Position descriptions, competency requirements. References and resource materials. Web sites. Updated 2007. Click on the title to link to the complete contents list. $65. Glossary of Medical Terms, Abbreviations and Acronyms, 4th edition (updated 2008): 123 pp. Great resource for 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. Updated annually. $55. Infection Control in Ambulatory Care: 116 pp of ‘best practice’ policies and procedures to meet OSHA, JCAHO, NCQA and other standards for accreditation and certification visits in a medical office or ambulatory care setting. Resources include forms, OSHA training program, OSHA standards, web site links, references. Updated annually. Click on the title to link to the complete contents list. $65.
Hospitalists:
Policies and procedures to develop a practical and physician-friendly
hospitalist Concierge or Retainer Medical Practice - How to Evaluate and Start a Retainer Practice: Concierge, boutique, premier, platinum or retainer medical practices are being carved out of existing solo and group practices to permit time to provide expanded 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 pros and cons of converting to a retainer medical practice, income potential, 'how to' strategies, ethical considerations, options, example letters to patients and colleagues, practice press release examples, references and other resources. 39 pages. New 2004, updated 2008. Click on the title to link to the contents list. $55. Health Care Provider Job Descriptions, 2nd edition: Medical directors, physician, nurse, nurse practitioner, nurse midwife, anesthetists, physician assistants, utilization management department staff and many other licensed and non-licensed health care job descriptions plus competency, performance improvement, audit or evaluation tools, counseling policy, Employee handbook policies including sexual harassment policies - especially applicable to medical groups and managed healthcare organizations. 142 pp. New 2004, revised 2008. Click on the title to link to the contents list. $65. Cardiovascular and Peripheral Vascular Surgery/ Vascular Lab Services, 2nd edition (Revised 2008): A 120-page toolbox of clinical and review criteria guidelines/benefit interpretations for the title topics by procedure or test/exam. Resources include extensive current references and related web sites. Updated annually. Click on the title to link to the complete contents list. $65. Disposable Medical Supplies/Durable Medical Equipment, 4th edition (update 2008): 155 pp. - Hundreds of specific review criteria for supply and DME Items, alpha list with explanatory recommendation for basis to deny or approve for payment based on usual coverage 'medical necessity' determinations. Click on the title to link to the complete contents list. $65. Radiology, Nuclear Medicine, Radiation Therapy, 2nd edition, 2008 update: 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 sites. 140 pages. Updated annually. Click on the title to link to the complete contents list. $65. Major Depression and Bipolar Disorder - Evaluation and Management Guideline - 109 pages. Clinical guidelines for the evaluation and management of these 2 common disorders with extensive references and resources. Updated annually. Click on the title to link to the complete contents list. $65. Anxiety, Phobias & Panic Disorders Guidelines - 83 page clinical guidelines for the evaluation and management of common common anxiety disorders and panic disorder ++ separate guidelines for Post-traumatic stress disorder (PTSD) and Obsessive-compulsive disorder (OCD). Extensive references and resources follow each of the 3 guidelines. Updated 2008. Click on the title to link to the complete contents list. $55. Alcohol/Substance Abuse & Dependency - Clinical Guideline, 2nd edition (2008 update) - 89 page clinical guideline for screening, evaluation and management of alcohol and substance abuse disorders with extensive references and resources. Review criteria for out- or inpatient care - admission, continuing care and discharge are included. Updated annually. Click on the title to link to the complete contents list. $55. Neurology and Neurosurgery: Clinical & Review Criteria Guidelines for Managing Care (2nd edition, update 2008) 235 pages. Evidence-based clinical and review criteria guidelines for outpatient and inpatient tests and procedures with indications, medical necessity coverage criteria, authoritative references and resources ++ Alzheimer disease 55 page clinical guideline & ADHD 54 page clinical guideline - both with extensive references and resource materials. Click on the title to link to the complete contents list. $65. Alzheimer’s Disease – the evaluation and management of dementia: 70 pp. Diagnosis, non-pharmaceutical and pharmaceutical management of this common cluster of disabling disorders. References. Web links/other resources. 70 pp. Updated annually. Click on the title to link to the complete contents list. $55. Attention Deficit Hyperactivity Disorder (ADHD) : 70 pp. Diagnosis, non-pharmaceutical and pharmaceutical management in children, adolescents and adults. References. Web links/other resources. Updated annually. Click on the title to link to the complete contents list. $55. Asthma – Evaluation and Management – Diagnosis, non-pharmaceutical and pharmaceutical management to improve the quality of care while reducing ER and hospital care. Authoritative references. Resources include disability evaluation/certification for asthma, patient education handouts, web links. 75 pp. Updated annually. Click on the title to link to the complete contents list. $55. Chronic Obstructive Pulmonary Disease (COPD) - evaluation and management, coverage issues. Authoritative references and resources. Update 2008. Click on the title to link to the complete contents list. $55. Diabetes mellitus – Evaluation and Management (2007 update): 114 pp. Diagnosis, non-pharmaceutical and pharmaceutical management to improve the quality of care while reducing cost. References. Web links/other resources. Updated annually. Click on the title to link to the complete contents list. $65. Hypertension + Heart Failure - evaluation and management guidelines: 111 pp. Each guideline covers the clinical evaluation, non-pharmaceutical and pharmaceutical care management. Each has authoritative references, web links/other resources. Update 2008. Click on the title to link to the complete contents list. $65. Any publication can be sent as an electronic or digital copy to your e-mail address, saving all shipping and handling charges. All e-copies are sent on the date that payment is received. Updates are provided at any time on e-mail request during the first 8 months; support for questions related to any review topic is provided by e-mail during the first year following purchase - both services are without charge.
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"We love your books/criteria. It is so easy to work with and there has been a reference for everything so far that we have needed." (Midwest health plan, Director UM) "Just wanted to let you know how valuable we feel your guidelines have been to us!" (Michigan Health Plan, Director UM) "... I have reviewed your manuals before and found them very thorough and user friendly." (Manager, Blue Shield of California) "I plan on telling my counterparts about your company and will recommend they look at your website and the examples that you make available. For small companies such as the one I work for, your manuals are a very cost effective way to acquire guidelines and meet URAC standards." (Director, MCRS) "The medical guidelines are great!" (Utilization Review, Delphi of Florida) "Apollo criteria are great" ... "________ Health Plan has been amazed with the level of service" (California Health Plan) "Often times cover issues that Milliman and Hayes do not.." Medical Director, Wisconsin Health Plan The Clinical Oversight Committee was very impressed with your thoroughness in your manuals. “Tight enough to guide but loose enough to not restrict practice” according to one of our endocrinologists. Director, Clinical Quality, Midwestern Health Plan Who purchases Apollo manuals? Apollo manuals are used in Australia, Bahrain, Barbados, Belgium, Brazil, Canada, Chili, Columbia, Finland, France, Germany, Hong Kong, Israel, Italy, Japan, Lebanon, Malaysia, Mexico, Panama, Portugal, Saudi Arabia, Singapore, South Africa, South Korea, Spain, Trinidad, UK and other countries. U.S. purchasers: Ø Health Plans (in every state and Puerto Rico). Capitated medical groups, MSOs, Provider networks, IPAs, Behavioral health providers, Medical School Faculty practice groups/plans, Hospitals, PHOs, State and County Health Departments Ø Review organizations; specialty networks; indemnity carriers, third party administrators, Consultants, law firms, VA hospitals, U.S. Military, Indian Health Service, licensing boards, and others....
Purchasers may be licensed for use at multiple sites or to list the contents online (intranet only) for use by reviewers. In most cases, there is no fee in addition to the cost of the manual (one at each location) for a license. Please ask us if you have more than a single location or are a health plan with more than 100,000 members.
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