New Documentation Requirements for Prior Authorization of Therapeutic Injections Policy

August 2018

WSI recently published a new medical policy, Documentation Requirements for Prior Authorization of Therapeutic Injections.  This policy establishes the minimum elements of medical documentation WSI requires to initiate a medical review for prior authorization of therapeutic injections.

WSI requires prior authorization for most therapeutic injections, as outlined in the Utilization Review Guide.  If a request for prior authorization does not meet the documentation requirements, WSI may deny the Utilization Review Request (UR-C) due to lack of information.

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