News & Events

Apollo's New Web Portal is Here

The Apollo Managed care online guidance has been redesigned to deliver the information you need more quickly and easily. It's the same Apollo medical review criteria and guideline content any faster and simpler to use. Apollo's newly designed database includes faster lead times, and improved user interface and area improve productivity.

Event & News

Archives

Apollo's New Guidelines Added - June 2018

Hello Apollo Users - We are pleased to announce the addition of the following new guidelines in the month of June.

Medical Review Criteria for Managing Care manual

  • BB 116 Molecular Red Blood Cell Phenotyping
  • CAR 132 Fibromuscular Dysplasia (FMD)
  • DER 104 Cutis Verticus Gyrate
  • DER 124 Granuloma Annulare
  • END 045 Polyendocrinopathy
  • ENT 130 Ameloblastoma
  • GEN 010 Ashkenazi Jewish Testing Panel
  • GEN 011 Bloom Syndrome
  • GEN 012 Familial Hyperinsulinism
  • GEN 013 Mucolipidosis IV
  • GEN 014 Polyposis Syndromes
  • GEN 015 Inherited Thrombophilia
  • GEN 016 CHARGE Syndrome
  • GEN 017 Fanconi Anemia (FA)
  • GEN 021 Phenylketonuria (PKU)
  • GEN 022 SHOX-related Short Stature
  • GEN 023 Peutz-Jeghers Syndrome
  • GEN 024 Osteogenesis Imperfecta
  • GEN 026 CADASIL Syndrome
  • GEN 031 Fanconi Syndrome
  • GEN 033 Angelman Syndrome
  • GEN 042 Cowden Syndrome
  • GEN 044 Periodic Fever
  • HO 103 Waldenstrom Macroglobulinemia (WM)
  • HO 107 Prothrombin Thrombophilia
  • HO 109 Alpha Thalassemia
  • HO 110 Schnitzler Syndrome
  • HO 114 Beta Thalassemia Syndromes
  • HO 122 Heavy Chain Diseases (HCDs)
  • HO 127 Beta Thalasemmia Syndromes
  • HO 204 Factor II Prothrombin Defiency
  • NEU 095 Creutzfeldt-Jakob Disease (CJD)
  • NEU 098 Subdural Hematoma
  • NEP 108 Nephrotic Syndrome
  • NEU 105 Myoclonus-Related Disorders
  • NEU 107 Spinocerebellar Ataxia Type I (SCA1)
  • NEU 108 Friedreich Ataxia (FA)
  • OPH 105 Photophobia
  • PED 172 Macrocephaly
  • PHM 109 Statin-Induced Myopathy
  • PRS 132 Surgical Flaps
  • RAD 105 Spectroscopy
  • RAD 119 Incidentalomas
  • RMT 025 Granulomatosis with Polyangiitis
  • SM 104 Chondritis
  • SM 221 Tendon Repair
  • UR 138 Prostate Cancer Genetic Screening
  • UR 150 Renal Oncocytoma

Managing Physical/Occupational/Speech Therapy & Rehabilitation

  • POS1-020 Lymph Drainage

Managing Behavioral Healthcare

  • BHRC30-020 Nonepileptic Seizures (Pseudoseizures)

Apollo's New Guidelines Added - April 2018

Hello Apollo Users - We are pleased to announce the addition of the following new guidelines in the month of April.

Medical Review Criteria for Managing Care manual

  • ENT 120  Glossopharyngeal Neuralgia
  • ENT 134  Salivary Gland Disorders
  • HO 166  Cold Agglutinin Disease (CAD)
  • GEN 055  Fragile X Syndrome
  • GI 155  Gastrinomas
  • GS 115  Robot-Assisted Laparoscopy
  • HO 153  CAR-T Cancer Drug Immunotherapies
  • INF 027  Leptospirosis
  • INF 033  Typhoid Fever
  • INF 042  Mumps
  • OBG 121  Sonohysterography
  • OPH 190  Scleritis
  • PED 136  Congenital Ventral Wall Defects; Gastrochisis
  • RAD 202  CT Computed Tomography - Overview
  • SM 243  Tibial Plateau Fracture; Knee
  • SM 127  Knee Abrasion Arthroplasty; Chondroplasty

Managing Behavioral Healthcare

  • BHRC31-020  Primal Therapy

Remember to use the guideline number in Quick Search for easy access.

Can't Find A Guideline? Have A Clinical Question?  Let Us Know!

If you need assistance finding a guideline or have a suggestion on development of new guidelines, just click on the "?" icon at the top of your dashboard next to the "Log Out" box in the upper right-hand corner.  You can also ask any clinical questions by clicking on this icon or simply click on "admin" as you log out of the portal.

Thank you

Apollo Administration

Apollo's New Guidelines Added - March 2018

Hello Apollo Users - We are pleased to announce the addition of the following new guidelines in the month of March.

Medical Review Criteria for Managing Care manual

  • DER 132 Madarosis
  • DER 150 Nummular Dermatitis
  • DER 189 Hirsutism in Women
  • END 035 Hypogonadotrophic Hypogonadism
  • GEN 038 Achondroplasia
  • GEN 040 Gilbert Syndrome
  • GEN 050 Williams Syndrome
  • GEN 148 Oculocerebrorenal Syndrome of Lowe
  • GEN 195 Klinefelter Syndrome
  • GI 210 Chromoendoscopy
  • GS 114 Ileal Pouch - Intestinal Diversion
  • GS 137 Volvulus; Colon, Small Bowel
  • GS 140 Intussusception
  • HO 205 Tumor Embolization Therapies
  • INF 167 Shigella Infections; Shigellosis
  • MIS 120 DVT Prophylaxis
  • NEU 122 Genicular Nerve Blocks; Genicular Radiofrequency Ablation
  • NEU 131 Spina Bifida
  • OPH 106 Keratoplasty
  • OPH 107 Corneal Edema
  • OPH 158 Atsigmatism
  • PED 144 Pyloric Stenosis
  • POD 090 Midfoot Fusion
  • RMT 135 Cryptoproteins; Cryoglobulinemia
  • SM 105 Femoral Bone Osteotomy; Leg Length Procedures
  • SM 107 Exostosis; Osteochondrosis
  • SM 245 Tibial Osteotomy
  • UR 104 Bladder Augmentation (Enterocystoplasty)

Acute Care Inpatient Review Criteria Guidelines

  • MDC1-055 Spina Bifida
  • MDC6-020 Pyloric Stenosis
  • MDC6-035 Ileal Pouch - Intestinal Diversion

Apollo's New Web Portal Is Here

The Apollo Managed Care online guidance has been redesigned to deliver the information you need more quickly and easily. It's the same Apollo medical review criteria and guideline content; only faster and simpler to use. Apollo's newly designed database includes faster load times, an improved user interface and streamlined navigation - all to improve productivity.

Apollo Adds Severity of Illness/Intensity of Service (SI/IS) Guideline

What is Severity of Illness/Intensity of Service (SI/IS)?

Severity of Illness/Intensity of Service (SI/IS) criteria provide an objective generic framework to establish the medical necessity for inpatient hospital care that is superior to generalized clinical pathways, diagnostic-related groups, or disease staging. Severity of Illness/Intensity of Service not only establishes a basis for hospital care, but also the level of care within the hospital (i.e., observation stay, inpatient admission, or a critical care service).

SI/IS criteria can be applied to psychiatric as well as medical-surgical care. These concepts are applicable to the care of individuals of any age.

MS-DRG and APR-DRG length of stay systems are statistical averages of data obtained from large populations admitted for hospital care. This data cannot be rigidly applied to medically necessary hospital-based care for a specific patient.

Severity of illness must be established before it is possible to review for intensity of service. Documentation must include the current clinical status/dysfunction, risk of deterioration, comorbidities that contribute to medical risk and care requirements.

This new guideline can be found in Apollo's Medical Review Criteria for Managing Care and Acute Care Inpatient Review Criteria Guidelines. Contact us for more information or to set up a demo.

Apollo Managed Care Incorporates ICD-10 Codes for October 1 Deadline

Apollo Managed Care has added ICD-10 codes, while retaining ICD-9 codes, to Apollo review criteria and guideline documents. Apollo also features a mapping tool for convenient cross-reference between code versions. These new enhancements have been instituted to facilitate a smoother transition to the new coding standard. Although codes attached to Apollo's review criteria and guidelines are not coding tools, Apollo incorporates ICD codes as part of the search functionality for locating guidelines quickly and easily.

Continuously Improving Apollo Products for Maximum Efficiency

At Apollo Managed Care, we understand that time is a precious commodity. With that in mind, we continuously look for ways to make our guidance even faster and easier to use. In addition to the web portal search functionality, users are now able to use the keyword search within each individual guideline. This makes it even easier to locate the information you need and minimizes down time for increased productivity.

Contact Us Today for More Information

The online versions of the Medical Review Criteria and Guidelines® are more affordable than you might think. Contact us today for more information and for a customized price quote.

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