A 56-year-old patient requires a knee arthroscopy. Before scheduling the procedure, the medical assistant must obtain which of the following to ensure the procedure is covered by the patient’s insurance?
Post-operative report
Discharge summary
Prior authorization
Pre-operative physical assessment
The medical assistant needs to obtain prior authorization from the insurance company to ensure that the knee arthroscopy is covered. This process involves getting approval from the insurance provider before the procedure is performed to confirm that it meets the criteria for medical necessity.
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