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Clinical Guidelines

Clinical Coverage Guidelines
The Clinical Coverage Guidelines (CCG) are evidence-based documents detailing the medical necessity of given procedures or technologies. The guidelines set consistent criteria for the coverage of a procedure or technology, leading to greater consistency and efficiency in clinical decision making. This consistency and efficiency results in better provider/company interactions and increases the quality of our members' health.

Clinical Practice Guidelines
Clinical Practice Guidelines are best-practice recommendations based on available clinical outcome and scientific evidence. WellCare Clinical Practice Guidelines reference expert professional and clinical society recommendations, ensuring that the guidelines contain the highest level of evidence-based content. Clinical Practice Guidelines are also used to guide efforts to improvement the quality of care in our membership.

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Last Updated On: 3/23/2022
Medicare 가입자: Medicare 사기로부터 자신을 보호하고 도난을 식별하십시오! 미국 보건복지부(Department of Health and Human Services) 감사관실(Office of Inspector General)은 유전자 검사와 관련된 사기 수법에 대해 대중에게 경고하고 있습니다. 자신을 보호하는 방법을 알아보십시오.
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