Wps Sheets
General
WPS' drug prior authorization program supports evidence-based treatment and is intended to optimize the care provided by practitioners to our customers. Drugs subject to prior authorization may have specific safety issues, may require a higher level of care coordination, may compete with other products that offer similar or greater value, or may require specific testing to identify appropriate patients. The prior authorization process gathers information so that a coverage decision can be rendered.
Protecting Sheets and Locking Cells. This advanced spreadsheet skill is a lifesaver when you're preparing a spreadsheet that is going to be used by a group. The last thing you would want is for data to be altered or lost when others are working on a document. It will be very helpful for you to lock the cells that should not be edited. Free download WPS Presentation templates, alternative to Canva or Creative templates, including animated PPT templates, business/simple/cool presentation templates. Modifier 25 indicates that on the day of a procedure, the patient's condition required a significant, separately identifiable E/M service, above and beyond the usual pre and post-operative care associated with the procedure or service performed. Use Modifier 25 with the appropriate level of E/M service.
Requests for specialty drugs are reviewed by our partner, Diplomat. Non-specialty drugs that require review are either reviewed by our Pharmacy Benefit Manager, or, in rare instances, WPS.
Additional Information Concerning Specialty Drugs
As noted above, WPS has engaged Diplomat to assist with specialty drug management. Diplomat will review each treatment plan relative to evidence-based guidelines that may include step-therapy protocols. Diplomat will ensure the specialty drug is provided in the most appropriate, cost-effective setting. This includes self-administration or the home setting depending on the situation. Specialty drugs dispensed without proper authorization will not be reimbursed, and the customer can be balance billed.
A provider can initiate a specialty drug authorization by calling Diplomat at 888-515-1357.
Wps Spreadsheet Excel
- To view coverage policies for specialty drugs, click here.