Nia Riley

Nia’s clinical guidelines are on radmd.com* under online tools/clinical guidelines. Nia’s guidelines for medical specialty solutions services were developed from practice experience,. (nia) for the purpose of making clinical review determinations for requests for therapies and diagnostic.

Nia’s guidelines are reviewed yearly and modified when necessary following a literature search of pertinent and established clinical guidelines and accepted diagnostic imaging practices. How does the ordering provider obtain a prior authorization from nia for a medical specialty solutions outpatient service? What information does nia require before a medical necessity review can be initiated for prior authorization determination?