Utilization Review
Physical & Occupational therapy require prior authorization by the WSI UR department
upon completion of 10 treatments or 30 days of care, whichever comes first for new
injuries or upon direction of the claims adjuster if an additional window period is
granted for an old or existing injury.
WSI allows an additional window period of 10 treatments or 30 days of care
(whichever comes first) after an inpatient surgery, outpatient surgery, or ambulatory
surgery after the therapy services were originally prescribed. The post operative
window may not begin beyond 90 days after the surgery date.
|
