Musculoskeletal Surgery Solution
Our Solutions
Our Musculoskeletal Surgery solution is a comprehensive utilization management program designed to ensure that key MSK surgical procedures are delivered according to national clinical guidelines. This program in combination with the Advanced Imaging program addresses critical diagnostic and treatment modalities used in spine care.
Clinical guidelines can be accessed below. For health plan specific clinical guidelines, CMS guidelines and Local Coverage Determinations (LCDs), educational documents and other information, please log into RadMD.
Clinical Guidelines
- 2024 Musculoskeletal Surgery Guidelines (Effective 7/1/2024)
Musculoskeletal Documents
Treatment Plan Checklists
Musculoskeletal Clinical Tip Sheets
- Hip and Knee Arthroplasty Clinical Tip Sheet (Commercial)
- Hip and Knee Arthroplasty Clinical Tip Sheet (Medicare)
- Knee Arthroscopy Clinical Tip Sheet
- Shoulder Arthroplasty Clinical Tip Sheet
- Shoulder Arthroscopy Clinical Tip Sheet
Conservative Treatment Forms
- Conservative Treatment Form - Imaging
- Conservative Treatment Form - Back Surgery
- Conservative Treatment Form - Joints