NIA Services - Opportunity Assessment: In-Depth Analysis

NIA conducts a systematic review of the historical utilization, cost, and delivery of diagnostic imaging services for our customers. This analysis, combined with information from NIA's imaging database, allows us to assist clients by developing strategies to improve the appropriateness and quality of diagnostic radiology services delivered locally. The review includes:

• Analysis of historical provider practice patterns
• Evaluation of the appropriateness and level of utilization delivered to the client's enrollees
• Review of access to qualified imaging providers
• Claims auditing and correct coding assessment
• Client-specific strategies to improve cost and quality based on local health care delivery and regulations

Findings for each of these factors are compared with regional and national norms from other healthplans. Having identified network issues and opportunities, NIA will present recommendations, generate a strategic plan for efficient implementation, and prepare for the ongoing maintenance of your Radiology needs.