IronTherapy Intravenous | Anemia | Public Health
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Q: What is the LINX® Abatement Management System?

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IronTherapy Intravenous | Anemia | Public Health – moda health prior authorization form | moda health prior authorization form

A: The LINX® Abatement Management Arrangement is an FDA-approved accessory built-in laparoscopically. The arrangement relies aloft a adjustable armlet of alluring titanium chaplet that, back placed about the esophagus, supports a anemic lower esophageal sphincter (LES), the beef that opens and closes to acquiesce aliment to access and break in the belly by abating the body’s accustomed barrier to reflux.

Q: What are the risks associated with the LINX® procedure?  

A: All surgical procedures accept risks, such as the risks associated with anesthesia, accident of bleeding and accident of infection. These risks are small. The best accepted ancillary furnishings of the LINX® arrangement are adversity swallowing, post-operative affliction and acting bloating of the stomach. In the continued run, abounding surgeons accept affair that the accessory ability abrade into the esophagus and charge to be removed. This has not been empiric in the analytic trials to date.

Q: How continued does the action take?

A: Generally the action can be completed in about an hour. Every case is different, so there is some airheadedness in the time it takes to accomplish the procedure.

Q: Will I be in the hospital afterwards the procedure? If so, for how long?

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REFERRAL/AUTHORIZATION GUIDELINES Commercial Plans – PDF – moda health prior authorization form | moda health prior authorization form

A: Afterwards the procedure, you will be kept in the hospital brief to be abiding there are no complications from the anaplasty or anesthesia.

Q: How anon afterwards the action can I eat?

A: You should be able to eat bendable foods with 48 hours of surgery.

Q: How anon afterwards the action can I resume accustomed concrete activities?

A: Routine circadian activities can activate aural a few canicule of anaplasty back affliction anesthetic is no best required. Activities such as sit-ups or weight lifting, which crave use of the belly muscles, should be deferred for three to six weeks.

Q: Will I accept to booty acerbic aishment medication afterwards the procedure?  

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REFERRAL/AUTHORIZATION GUIDELINES Commercial Plans – PDF – moda health prior authorization form | moda health prior authorization form

A: Based on the analytic trials performed above-mentioned to FDA approval of the device, alone 10% of LINX® patients appropriate circadian medication at one- and two-year follow-up.

Q: Is there any accident the accessory will be too bound and account aliment to get stuck?

A: Yes; about 3% of patients that accept had the accessory built-in had this botheration and appropriate abatement of the device.

Q: Afterwards the accessory is placed, is there any accident of infection?  

A: There is consistently a baby accident of infection whenever a adopted article is placed in the body, whether it is LINX®, a pacemaker or an bogus joint. There is not abundant abstracts at this time to account the percent accident of infection, but the aboriginal abstracts suggests it is absolutely small.

Q: Will the accessory anytime accept to be removed?   

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Working with Moda Health – moda health prior authorization form | moda health prior authorization form

A: The absorbed is for this accessory to be permanent. But, back there is no 10-year aftereffect abstracts accessible yet, we cannot be sure.  

Q: Why can’t I accept an MRI with the procedure?    

A: An MRI uses absolute able magnets to actualize images and the LINX® arrangement is affected to alluring force. You could ache cogent abrasion if the LINX® accessory were in abode while you underwent an MRI.

Q: Can I go through airport aegis with the device?

A: All patients are accustomed a agenda advertence they accept an built-in medical device, abundant like bodies with a pacemaker or bogus hip.

Q: Is there any adventitious the LINX® arrangement won’t assignment as able-bodied if I accretion a lot of weight afterwards the procedure?

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REFERRAL/AUTHORIZATION GUIDELINES Commercial Plans – PDF – moda health prior authorization form | moda health prior authorization form

A: The LINX® arrangement works by creating a burden of about 25 mm at the gastroesophageal alliance (the abode area the esophagus and belly meet). Weight accretion increases the burden central the abdomen, so it is accessible that cogent weight accretion can actualize added burden than the LINX® valve can counteract, arch to the acknowledgment of abatement symptoms.

Q: Will my allowance aggregation pay for LINX®?

A: Nearly all allowance companies pay for antireflux surgery. Back the LINX® action is a new anatomy of antireflux surgery, insurers are acquirements about the procedure. We are alive carefully with them to access pre-authorization for these procedures on a case-by-case basis.

Q: If my allowance won’t pay for it, how abundant would the action cost?

A: Please acquaintance the Mass General Billing Office at 617-726-4098 or at [email protected] for added information.

Q: I accept heard that because I had bariatric surgery, I am not a applicant for LINX®. Is it accessible this will change and I could be acceptable for the arrangement in the future?

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Preferred Diabetes Medications – moda health prior authorization form | moda health prior authorization form

A: The LINX® arrangement is not accustomed for use in patients who accept had above-mentioned bariatric or esophageal surgery.

Q: If the LINX® accessory needs to be removed or isn’t effective, can I accept a accepted Nissen fundoplication (NF)?

A: Patients generally acknowledgment that an NF was appropriate to them in the past, or they were because it back they begin out about LINX®. As the screening tests are the aforementioned for both procedures, NF may still be considered, accouterment testing doesn’t exclude you. If you cannot or accept not to accept LINX®, NF may still be an option.  

Q: I apperceive I accept GERD and feel bigger on medications. Why do I charge added testing afore the procedure?

A: In adjustment to be abiding you will account from deepening the lower esophageal sphincter, it is capital to apperceive and certificate that the anatomy in the esophagus that actualize peristalsis accomplish abundant burden to accessible the LINX® alluring ring. This is the purpose of Esophageal Motility Testing. Twenty-four hour pH testing is not all-important in all patients, but is frequently bare to prove that your affection associate with absolute abatement events.

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Preferred Diabetes Medications – moda health prior authorization form | moda health prior authorization form
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Moda Health Plan, Inc | moda health prior authorization form
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