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welcome today is May 25th it is at 2 p.m Central Time webinar and we are starting on the cassette joint prior authorization in the hopd OR Hospital outpatient Department so um I want to give you a disclaimer slide we show this disclaimer at every one of our presentations and it basically in a nutshell says the information Iamp;#39;m giving you is as true and relevant as it can be but the current Medicare regulations always Prevail so if the Medicare regulations change tomorrow itamp;#39;s your responsibility as a provider to follow those changes also you are prohibited from recording this event for profit making purposes we are recording that for you and we will post it on our YouTube channel pending the outcome of todayamp;#39;s recording this on your screen is acronyms that we will use throughout this presentation so they may be listed in the presentation or they may just be things that I refer to the common ones that I will know that I will say a lot today is hopv or OPD for Hosp