That's scary for me. We have no HMOs here, but lots of MC. Pacificsource is the private insurance of the year and they are a pain, but once you jump through their hoops and waste a bunch of their and the patient's money then they will let you do MBB/RFA. Noridian said that they would do this audit, but they never specified the requirements before and they still say no PA required. Instead of prior auth it is now post auth.
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