Clinical Updates for Claims and Medical Management Professionals
June 2008
Welcome to the latest edition of PeerPoints, focused on helping claims and utilization review managers make informed claims decisions.
In this issue:
Developmental Delay: How to Diagnose, Plan Exclusions
Developmental delay is a term applied to a wide range of disorders, including mental retardation, motor delays, developmental language delays, developmental coordination disorders, autism spectrum disorders and global developmental delay. Before modern imaging and genetic studies, the term described any child not achieving developmental milestones and in whom a medical diagnosis had not been identified.
Battling Childhood Obesity with Bariatric Surgery
With childhood obesity becoming an ever-present epidemic, the issue of patient qualification for bariatric surgery needs to be revisited. Recent data shows that nearly 17 percent of US youth between the ages of 6 and 19 are considered overweight.
Management and Care of Acute Coronary Syndromes
Atherothrombosis is the leading cause of death worldwide and accounts for 52 percent of all deaths. Over 55 million people worldwide died from atherothrombotic disease in 2000. In 2004, there were 1.6 million of hospitalizations for ACS, 700,000 for UA and 900,000 for myocardial infarction (MI). Of these, about 30 percent presented ST-segment elevation in the electrocardiogram (ECG).
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