Clinical Guidelines & Medical Policies

To access the guidelines and training materials below, please email services@ppsanalytics.com

Table of Contents:

Urology
Gastroenterology
Rheumatology

UROLOGY

  • APC Clinical Guideline
  • BPH Clinical Guideline
  • Gonadotropin-Releasing Hormone Agonists – Injectable Long-Acting Products UM Medical De-Identified
  • Gonadotropin-Releasing Hormone Agonists – Injectable Long-Acting Products Utilization Management Medical Policy
  • GnRH Agonists – Lupron Depot and Lupaneta MA Policy
  • GnRH Agonists – Injectable Long-Acting Products MA Policy
  • OAB Clinical Guideline
  • Peyronie’s Disease Clinical Guideline

GASTROENTEROLOGY

  • IBD 5-ASA Guide
  • IBD Pathway
  • IBD Advanced Therapy Guide
  • IBD Patient Pathway Education
  • IBD Patient Pathway Intake Form
  • IBD Steroid Guide
  • Inflammatory Conditions – Cimzia UM Medical De-Identified
  • Inflammatory Conditions – Entyvio Intravenous UM Medical De-Identified
  • Inflammatory Conditions – Infliximab Products UM Medical De-Identified
  • Inflammatory Conditions – Infliximab Products Utilization Management Medical Policy
  • Inflammatory Conditions – Simponi Aria UM Medical De-Identified
  • Inflammatory Conditions – Skyrizi Intravenous UM Medical De-Identified
  • Inflammatory Conditions – Stelara Intravenous UM Medical De-Identified
  • MASLD Pathway

RHEUMATOLOGY

  • Axial Spondyloarthritis (axSpA) Clinical Guideline
  • Biosimilars in Rheumatology Clinical Guideline
  • GOUT Clinical Guideline
  • Hyaluronic Acid Derivatives (Intraarticular) Utilization Management Medical Policy
  • Hyaluronic Acid Derivatives (Intraarticular) Medicare Advantage Medical Utilization Review Policy  
  • Inflammatory Conditions – Cimzia Utilization Management Medical Policy
  • Inflammatory Conditions – Infliximab Products Utilization Management Medical Policy
  • Inflammatory Conditions – Infliximab Products Medicare Advantage Medical Utilization Review Policy 
  • Inflammatory Conditions – Simponi Aria Utilization Management Medical Policy
  • Osteoarthritis of the Knee Clinical Guideline
  • Osteoporosis Clinical Guideline
  • Psoriatic Arthritis (PsA) Clinical Guideline
  • Rheumatoid Arthritis Clinical Guideline
  • Systemic Lupus Erythematosus Clinical Guideline
  • Ultrasound in Rheumatological Settings Clinical Guideline
  • Women’s Reproductive Health & Rheumatic Diseases Clinical Guideline