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OasisLMS
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Specialized Toolkit Series: Arthroscopic Hip Treat ...
Preoperative Planner: Dealing with Insurance/Pre-A ...
Preoperative Planner: Dealing with Insurance/Pre-Authorizations
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Video Transcription
Video Summary
The video outlines the preauthorization process for arthroscopic hip procedures, focusing on CPT codes 29914, 29915, 29916, and 29999. It explains that preauthorization is necessary based on insurance, highlighting that CPT code 29999, used for unlisted procedures, is reviewed post-surgery. Essential documentation includes patient MRI reports, clinical notes, and proof of 12 weeks of conservative treatment. A detailed letter supporting the necessity of surgery is often required. Denied codes can undergo peer reviews and appeals. Meticulous documentation and adherence to insurance criteria facilitate smoother navigation of this process.
Asset Caption
Shane J. Nho, MD, MS
Keywords
preauthorization
arthroscopic hip
CPT codes
insurance
documentation
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