Medica works with National Imaging Associates (NIA) for review and authorization of our Musculoskeletal (MSK) Care Management Program. This includes prior authorization by the treating physician for non-emergent inpatient and outpatient musculoskeletal surgeries, specifically hip, knee, shoulder, lumbar, and cervical spine.
This program incorporates the following key components:
Only inpatient total knee arthroplasty and total hip arthroplasty will require prior authorization.
For questions, contact NIA's customer service representatives: 866-307-9729, available 7 a.m. - 7 p.m. CT, Monday - Friday.