Poster Presentations P263common. This is the first study describing the use of Gelfoam for treatment of post-operative intra-nasal adhesion formation with 100% success rate and no recurrences. This can be easily performed under local anesthesia in the outpatient setting. This avoids unnecessary inpatient admissions or the risk of general anesthesia, providing safer and better quality care for patients.Objectives: Evaluate cost effectiveness of required pre-approval for computed tomography (CT) of the sinuses for chronic rhinosinusitis (CRS) evaluation by weighing the associated cost of pre-approval against savings from rejected claims. Study design: Retrospective analysis of prospectively collected data. Setting: An academic otolaryngology practice.Methods: Over a 6-month period, all sinus CT scans ordered and requiring pre-approval by a third-party payer were tabulated. Characteristics of the pre-approval process that were recorded and analyzed included time spent by office administrative staff, need for peer-to peer review, and time spent by the ordering physician.
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