Clinical practice guidelines list

The purpose of a clinical practice guideline is to help you engage your patients in discussions of goals, preferences and priorities, and to provide you with information on the most effective methods of screening, diagnosis and treatment.

Below is a list of all Priority Health-recommended Clinical Practice Guideline documents by topic. All originated from the Michigan Quality Improvement Consortium (MQIC) and have been adopted by Priority Health. (MQIC) is a collaborative effort to develop and implement standard clinical guidelines and performance measures. MQIC participants include physicians and other personnel representing the Michigan HMOs. MAHP recognizes the expertise and evidence-based knowledge that the guidelines represent and encourages the use of accepted standards of care to promote quality care and better health outcomes for Michiganders.

Acute bronchitis

Management of Uncomplicated Acute Bronchitis in Adults

Acute pharyngitis

Acute Pharyngitis in Children (3 years and older) Adolescents and Adults

ADHD

Advance care planning

Advance Care Planning

Alcohol and substance use

Alcohol and Substance Use Disorder

Asthma

General Principles for the Diagnosis and Management of Asthma

Back and neck pain

Management of Acute Low Back Pain in Adults

Childhood overweight and obesity

Deep venous thrombosis

Outpatient Management of Uncomplicated Deep Venous Thrombosis

Depression

Primary Care Diagnosis and Management of Adults with Depression

Diabetes

Management of Type 2 Diabetes Mellitus

Heart failure

Adults with Heart Failure with Reduced Ejection Fraction

Hypertension

Medical Management of Adults with Hypertension

In-office sedation

In-office Use of Sedation

Kidney disease

Lipid management

Lipid Screening and Management

Opioids

Opioid Prescribing in Adults Excluding Palliative and End-of-Life Care
Providers must be listed on the (Substance Abuse and Mental Health Services) SAMHSA administration website as certified.
Claim must be billed with POS 58

Processing Medicare claims manual

40.1 - Place of Service (Rev. 4524 Issued; 02-14-20: Effective; 01-01-20: Implementation: 03-16-20)

Claims for OTP services should use Place of Service code 58 (Non-residential Opioid Treatment Facility - a location that provides treatment for OUD on an ambulatory basis. Services include methadone and other forms of MAT).