• New Prior Authorization Requirements for Blepharoplasty and Botox in HOPDs

    Written By: Emon Alavi, MS, Academy Health Policy Specialist, Jenny Edgar, CPC, CPCO, OCS, OCSR, Academy Manager, Coding and Reimburse­ment, and Sue Vicchrilli, COT, OCS, OCSR, Academy Director, Coding and Reimbursement

    Starting July 1, 2020, there are new rules for hospital outpatient departments (HOPDs): Before clinicians perform eyelid surgery or inject Botox (botulinum toxin), the HOPD must 1) request a prior authorization and 2) receive a provisional affirmation decision.