Prior Auth Required

01691 - calculated as .2/12.4 = 0. for a 1.61% change. A variance over the 20% threshold is shown in

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Servicecalculated as .2/12.4 = 0. for a 1.61% change. A variance over the 20% threshold is shown in
Procedure / Service Description

The UM and Pharmacy departments monitor and evaluate TAR to FTE ratios to assess staffing - TARs/Nurse/day in January = 12.4 and February = 12.6. The difference between the two months is .2 and the January Staff-to-TAR ratio is 12.4. The change in the month-over-month ratio is calculated as .2/12.4 = 0.01691 for a 1.61% change. A variance over the 20% threshold is shown in red.

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.