History

Apollo Managed Care, Inc. has been providing the medical community with affordable review criteria and clinical guidelines since 1997, when they were first published as a series of reference books developed under the guidance of company founder Margaret D. Bischel, MD, FACP. Today, these printed materials have evolved into a comprehensive solution offering online access to more than 2,800 detailed clinical review criteria guidelines and evidence-based benefit interpretations that include benchmarks for commercial, Medicare and Medicaid populations. Apollo continues to be one of the industry’s most widely-trusted resources supporting medically necessary and evidence-based healthcare. Dr. Bischel remains actively involved—ensuring that the medical criteria and clinical guidelines provided remain current and appropriate to today’s evolving standards of care.

About Us

Trusted

Apollo guidelines have been reviewed by hundreds of utilization review/management committees. Blue Cross Blue Shield of Illinois has approved Apollo review criteria guidelines for use by its contracted medicals groups and IPAs. Review criteria and guidelines are continuously updated and made available on a real-time basis via the Apollo Managed Care web portal and the peer reviewed literature is continuously scanned for new information that pertains to Apollo criteria. Our commitment to you – Apollo provides expert utilization management support for challenging review issues and appeals without additional cost to any subscriber.

Privacy Policy

Why Apollo Managed Care?

  •  Apollo Medical Review Criteria and Guidelines for Managing Care® are accepted by organizations who are accredited by NCQA or URAC
  •  Provides clinical review criteria based on listed current references from peer-reviewed journals and other authoritative links for quick “click and view” access.
  •  Assists utilization management and claims departments with essential information to assist in medically-necessary benefit determinations.
  •  Includes length of stay benchmarks in comprehensive tables by DRG for Medicare, commercial and Medicaid populations.
  •  Apollo provides expert utilization management support for challenging review issues and appeals without additional cost to any subscriber.
  •  Content is continuously updated as new information becomes available.
Work With Us

Information At Your Fingertips

  • Fast and flexible search functionality.
  • Searchable by keyword or CPT/ICD-10/HCPCS codes.
  • Convenient to print or download.
  • Easily accessible by storing commonly searched information on a My Favorites page.
  • Can be used as a stand-alone integrated with almost any system.
  • The online, cloud-based format allows for multiple users at multiple locations.

Apollo Customers

  • Capitated medical groups
  • MSOs
  • Provider networks
  • IPAs
  • Behavioral health providers
  • Medical school faculty practice groups/plans
  • Hospitals
  • PHOs
  • State and county health departments
  • Review organizations
  • Specialty networks
  • Indemnity carriers
  • Third-party administrators
  • Consultants
  • Law firms
  • VA hospitals
  • U.S. Military
  • Indian Health Service
  • Licensing boards
  • And many others

How To Subscribe

  • Step1

    Contact: (888) 276-5563 or info@apollomanagedcare.com to see how much you can save.

  • Step2

    You may request more information or request an example guideline by filling out the Contact Form.

  • step2

    We will be happy to show you our product via an online demonstration.