Prior Auth Required

51337 - CCR, Title 22, Sections , and provides specific information that is to be included on the POT and the

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCCR, Title 22, Sections , and provides specific information that is to be included on the POT and the
Procedure / Service Description

1) Procedures are followed to maintain the confidentiality of personal patient information. - documented and • The nurse is responsible for the development and periodic updates of the Plan of Treatment (POT). This is a nursing evaluated regularly. responsibility since the contents serve as the orders for the nursing care to be rendered and should be beneficiary specific. CCR, Title 22, Sections 51337, 74697 and 74701 provides specific information that is to be included on the POT and the receipt of orders for treatments and medications • For RNs acting as a coordinator, their responsibilities primarily involve reviewing the overall case, assessing the beneficiary

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.