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Treatment of bipolar disorder / Medical terms / Manipulative therapy / Percutaneous tibial nerve stimulation / Radiofrequency ablation / Spinal disc herniation / Vagus nerve stimulation / Prostate cancer / Pulsed radiofrequency / Medicine / Neurotechnology / Electrotherapy


Prior Approval and Investigational Services LIST OF SERVICES REQUIRING PRIOR APPROVAL Category
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Document Date: 2015-03-04 15:32:45


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City

Cleveland / /

Company

IgG / Ovarian Adnexal Mass Assessment Score Test Systems / Computer-Aided Detection Software Systems / Outpatient Telemetry Systems / Total Artificial Heart Systems / Continuous Glucose Monitoring Systems / Landmark Healthcare Inc. / /

Currency

USD / /

Event

FDA Phase / /

Facility

Lupron Depot / •• Skilled Nursing Facility / /

/

IndustryTerm

Treatment of Depression / Therapy for Gastroesophageal Reflux Disease / therapy services / care services / •• Wireless Gastrointestinal Motility Monitoring System Medical Mutual Medical / Treatment of Migraine / Therapy for Gaucher Disease / Treatment of Osteoarthritis / Treatment of Obesity / /

MedicalCondition

Colorectal Cancer / Obstructive Sleep Apnea / Urinary Incontinence / Fibroids / Hyperhidrosis / Gastroparesis •• High Frequency Chest Wall Oscillation System •• INR Monitoring System •• Interspinous Process Decompression System / Inherited Disorders / •• Allergy / Vitiligo / Gastroesophageal Reflux Disease / Severe Emphysema / Breast Cancer / Myelomeningocele / Tumors / Dysphagia / Congenital Diaphragmatic Hernia / Fecal Incontinence / Gaucher Disease / Rosacea / Osteoarthritis / Migraine Headaches / Tendinosis / Chronic Pain •• Quantitative Sensory Testing •• Radiofrequency Microtenotomy Tendinosis / Depression / Uterine Fibroids / Disorders / Other Than Vitiligo / /

MedicalTreatment

Otoplasty / Chelation Therapy / Lipectomy / Low-level Laser Therapy / Stereotactic Radiosurgery / Chiropractic / Phototherapy / Rhinoplasty / Surgical Treatment / Physical Therapy / Sclerotherapy / Lung Volume Reduction Surgery / Laser Therapy / Occupational Therapy / Cochlear Implant / Enzyme Replacement Therapy / Kyphoplasty / Breast Reconstruction / Hyperbaric Oxygen Therapy / Non-Surgical Treatment / High Frequency Chest Wall Oscillation / Abdominoplasty / Speech Therapy / Vertebroplasty / Stereotactic Body Radiotherapy / Bariatric Surgery / Mastectomy / TENS / Heart Transplant / /

Person

Mitoxantrone (Novatrone) •• Natalizumab / Iloprost (Ventavis) •• Infliximab / Hizentra •• Iloprost / Tocilizumab (Actemra) •• Trastuzumab / Duty Nursing / /

/

Position

social worker and home health aide / Medical Social Worker / Home Health Aide / /

Product

Humira / Synagis / Herceptin / Velcade / Remodulin / Gemzar / Biodegradable Capsule / Rituxan / Alimta / Aranesp / Neupogen / Lupron Depot / Flolan / Viscosupplementation Injections / Leukine / Eloxatin / Cyclophosphamide / Soliris / Abraxane / Doxil / Neulasta / Remicade / PegIntron / Zometa / Peginterferon / Treanda / Avastin / Rebif / Betaseron / Avonex / Corticotropin / Orencia / Vectibix / Leuprolide acetate / Enbrel / Copaxone / Paclitaxel / Faslodex / Pegasys / Eligard / Doxorubicin hydrochloride / H.P. Acthar Gel / Ventavis / Erbitux / Xolair / Tysabri / Mitoxantrone / Taxotere / Lupron Depot-Ped / Medical Drug / /

ProvinceOrState

Ohio / /

PublishedMedium

Magnetic Resonance Imaging / /

Technology

Tomography / Ultrasound / Transplantation / Thermography / MRI / CMP / Laser / Magnetic Resonance Imaging / Gene Expression / Spectroscopy / Ado / /

SocialTag