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Care guidelines from MCG provide fast access to evidence-based best practices and care-planning tools across the entire care journey, supporting clinical decision-making and documentation as well as enabling efficient transitions between care settings.
Feb 28, 2023 · With the 27 th edition, MCG provides dedicated Adult, Pediatric, and Observation Care guidelines specific to COVID-19 diagnoses. In addition, MCG developed new Hospital-at-Home guidelines for both COVID-19-specific diagnoses and Acute Viral Illness (RSV, influenza, etc.), located within MCG Inpatient & Surgical Care.
A web-based software suite delivering evidence-based care guidelines for aligning care delivery and clinical documentation. Learn how MCG Health provides evidence-based care guidelines and technology to help move patients toward health most efficiently.
25th edition of MCG* care guidelines for the following modules: inpatient and surgical care (ISC), general recovery care (GRC), chronic care (CC), recovery facility care (RFC), and behavioral health care (BHC).
Effective September 1, 2021, Anthem will upgrade to the 25th edition of MCG* care guidelines for the following modules: inpatient and surgical care (ISC), general recovery care (GRC), chronic care (CC), recovery facility care (RFC), and behavioral health care (BHC).
Sep 26, 2023 · One of the key ramifications of CMS’ 2024 Medicare Advantage Final Rule (CMS 4201-F) is the clarification that the Two-Midnight Rule should apply to both Medicare fee-for-service patients and Medicare Advantage patients for medical inpatient admissions.
Magellan uses MCG Guidelines®, along with its proprietary clinical criteria, Magellan Healthcare Guidelines, as the primary decision support tools for our Utilization Management Program. Collectively, they are known as the Magellan Care Guidelines.
MCG independently develops and produces evidence-based clinical guidelines and software that reaches more than 200 million people and is used by over 1,700 hospitals, eight of the largest U.S. health plans and nine of the 10 largest workers’ compensation groups.
We began incorporating clinical guidelines from MCG Health into our criteria of clinical support decisions in February 2023. This change has allowed us to enhance visibility to utilization management criteria while simplifying the authorization process for providers.
Learn how MCG Health's Behavioral Healthcare guidelines address medical necessity screening to help utilization management teams make informed decisions.
