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surgery prior auths

  1. L

    Wiki Surgery Auths

    Curious- Has anyone had surgery auth denials for final coding not being what was anticipated and auth'd prior to surgery that they've appealed successfully? Example: Surgery paperwork may states "Knee arthroscopy, diagnostic, meniscectomy" CPTs: 29870, 29881 called on/submitted for surgery...
    • LaurenBrooke
    • Thread
    • appeals authorization billing pre-authorization surgery surgery prior auths
    • Replies: 9
    • Forum: Orthopaedics
  2. S

    Wiki Surgical prior auth

    I am needing help with a surgery getting denied by their insurance. Patient was admitted thru the er. The hospital staff prior authorized the inpatient stay but did not get one for any surgeries, with the insurance company with a diagnosis of back pain. The patient went on to have spine surgery...
    • Sandy H
    • Thread
    • surgery prior auths
    • Replies: 5
    • Forum: MACRA
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