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Spot the usual PA suspects As a rule of thumb, if a service is pricey, ongoing, or ordered by a specialist, plan on requesting a PA: High-cost imaging: MRI, CT, PET Elective surgeries: tonsillectomy, joint replacement, bariatric procedures Therapy past routine limits: mental-health counseling, speech, PT, OT Durable medical equipment (DME): power wheelchairs, hospital beds Ongoing home-health or skilled-nursing visits Quick example: Your patient with chronic knee pain clearly needs an MRI

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