Alex O'Neal’s Post

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Co-Founder / CEO at Arbicare

Lawmakers in New York have introduced SB 6929 and AB 6832 which would increase the threshold for preauthorization to $1,500 (currently $1,000) for certain medical care including: ▶ specialist consultations ▶ surgical operations ▶ physiotherapeutic / occupational therapy procedures ▶ x-rays ▶ special diagnostic lab tests SB 6929 also has language clarifying that the list of pre-authorized procedures shall be issued and maintained solely for the purpose of expediting authorization of treatment of injured workers and not be used as a basis for denying treatment. The bill also allows non-network providers of testing to be compensated at the provider network rate negotiated by the carrier. ***What Does It Mean For You?*** ▶ There is likely to be a continued push from providers on pre-auth requirements  ▶ Use technology to approve the right care quickly ▶ When care doesn't meet guidelines, let physician reviewers make the right call #workerscompensation #utilizationmanagement

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