The Utilization Management Committee of the CSMS-IPA, Inc. has developed various programs aimed at identification, notification and education of our members. The proactive approach of our educational programs has helped many physicians and non-physician practitioners with the often difficult task of understanding the guidelines set forth by AMA and CPT.

There are a number of UM programs currently in place. Please click on one of the links below to view our program policies.

ESTABLISHED OFFICE VISIT

NEW PATIENT CODE PROGRAM

CONSULT CODE PROGRAM

UTILIZATION MANAGEMENT PROGRAM APPEALS PROCESS