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This document outlines the updated policy regarding the Elective Surgical Procedure Level of Care by Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc. Effective December 1, 2024, the policy expands to include more procedures and specifies the necessity of prior authorization for various member plans.
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How to fill out elective surgical procedure level

How to fill out elective surgical procedure level
01
Begin by gathering patient medical history and current health status.
02
Consult with the surgical team to determine the necessity of the procedure.
03
Determine the appropriate elective surgical procedure level based on the complexity and risk factors involved.
04
Fill out the required forms with patient details, indication for surgery, and relevant clinical findings.
05
Obtain necessary pre-operative clearances or assessments if needed.
06
Review and confirm the information for accuracy before submission.
Who needs elective surgical procedure level?
01
Patients with non-emergency conditions requiring surgery that can be scheduled in advance.
02
Individuals seeking relief from chronic symptoms or conditions that affect quality of life.
03
Patients recommended by their healthcare provider for surgical intervention after considering all other treatment options.
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What is elective surgical procedure level?
The elective surgical procedure level refers to the classification of surgical operations that are non-emergency and can be scheduled in advance, based on medical necessity and patient preference.
Who is required to file elective surgical procedure level?
Healthcare providers, particularly those in surgical practice, are required to file the elective surgical procedure level for the procedures they perform.
How to fill out elective surgical procedure level?
To fill out the elective surgical procedure level, providers must accurately complete the designated forms with details of the procedure, patient information, and relevant medical codes as required by regulatory bodies.
What is the purpose of elective surgical procedure level?
The purpose of the elective surgical procedure level is to ensure proper documentation, facilitate billing processes, assure compliance with medical standards, and enhance patient safety and care planning.
What information must be reported on elective surgical procedure level?
The information that must be reported includes the type of procedure, patient details, date of surgery, the medical necessity of the surgery, and relevant billing codes.
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