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Surgical Procedural Essay - Papers Online

Surgical Procedural Essay

To begin with, on the website I would find prior authorization information on the right hand corner in the providers area. “Prior authorization (PA) is required for certain covered services to document the medical necessity for those services. To determine if a procedure code requires PA, access the fee schedule.” According to the Indiana Medicaid for Providers website, “Chapter 6 of the IHCP Provider Manual provides detailed instructions regarding the PA process and procedures.”
In general, the physicians usually are required to submit the appropriate preauthorization form. Preauthorization is required for certain procedures and services (e.g., inpatient hospitalizations) as mandated ...

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to use a rubber stamp for the physician’s signature on a preauthorization form.
“Telephone PAs are not approved for services that can otherwise be authorized in writing, such as routine office visits; trend events, such as specialized therapies and continued home health care services; elective surgeries; retroactive requests for non-emergency services; and extension of existing PAs.” Furthermore, there is plenty of required information that comes along with filling out a preauthorization form. The requirements are as follows: patient’s information, requesting provider’s information, rendering provider’s information, preparer’s information, medical diagnosis, assignment category, date of services (from start to end), procedural codes, modifiers, requested services, taxonomy, POS codes, the number of units and dollars, notes, and finally, a signature including current date of the qualified practitioner. “Providers should retain photocopies of the Indiana Health Coverage ...

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Surgical Procedural Essay. (2014, March 20). Retrieved December 23, 2024, from http://www.essayworld.com/essays/Surgical-Procedural-Essay/103827
"Surgical Procedural Essay." Essayworld.com. Essayworld.com, 20 Mar. 2014. Web. 23 Dec. 2024. <http://www.essayworld.com/essays/Surgical-Procedural-Essay/103827>
"Surgical Procedural Essay." Essayworld.com. March 20, 2014. Accessed December 23, 2024. http://www.essayworld.com/essays/Surgical-Procedural-Essay/103827.
"Surgical Procedural Essay." Essayworld.com. March 20, 2014. Accessed December 23, 2024. http://www.essayworld.com/essays/Surgical-Procedural-Essay/103827.
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PAPER DETAILS
Added: 3/20/2014 11:44:37 PM
Submitted By: PrettyScorpio
Category: Health & Medicine
Type: Premium Paper
Words: 575
Pages: 3

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