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[DOI] [PMC free article] [PubMed] [Google Scholar] 233.Gnad T, Scheibler S, von Kugelgen I, Scheele C, Kilic A, Glode A, et al

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Steroid-induced avascular necrosis A study from Georgetown University Hospital published in June 2021 ( 5 ) describes the challenges of treating steroid-induced avascular necrosis this way: Steroid-induced avascular necrosis (AVN) of the lower extremity is a destructive process of the bone found in patients who have been treated with these medications for a variety of medical conditions

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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