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Appendix 1 Employee Starter Form V2doc Penderelstrust Org

Appendix 1 Employee Starter Form V2doc Penderelstrust Org

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(Music playing) Hi Rachel here with WPS GHA Provider Outreach and Education. I'm here to talk about the process for prior authorization for implanted spinal neurostimulators, or spinal cord stimulators, if preformed in an hospital outpatient department. These changes took effect July 1st of 2021 and there is a lot to cover, so let's get started! (Pause) So there are a couple of scenarios for prior authorization in the outpatient setting for implanted spinal neurostimulators I want to first review. And then we will get into what documentation is requested for these prior auths. So to start, let's take a look at our first example. The trial and/or permanent insertions that the provider will perform in the hospital outpatient department, or (HOPD) setting will require a Prior Authorization. So lets say the trial insertion was completed in the office setting but the permanent insertion was completed in the outpatient setting. In this case, the prior authorization wo

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