Prior Authorizations for Care

A few times a week, I’m on the phone during office hours (and sometimes after-hours) working with insurance companies through pre-authorizations or peer-to-peer reviews advocating for the need and necessity for my patients as to why we need this test or this procedure.

Often, both my patients and myself get frustrated by the way insurance companies and “the system” work to approve or deny these much needed interventions.

Below is a good article from Medical Economics highlighting the process of prior authorizations with particular emphasis on the patient and physician side. Let me know what you think?

Prior Authorizations Predicament

You Might Also Enjoy...

The Benefits of Minimally Invasive Spine Surgery

Your doctor tells you that your back pain could be improved or resolved if you undergo minimally invasive spine surgery (MISS). What does that mean, and can it really be as effective as traditional surgery? MISS is just as effective and safer, too.

When You Need Surgery for Disc Herniation (21046)

Herniated discs are common, particularly if you’re athletic or aging. Or both. Most of the time, a slipped disc heals on its own with physical therapy and medications. If it doesn’t, you may need surgery to fix the herniation and relieve the pain.

Help! I've Been Hurt on the Job

Nobody goes to work expecting to be injured or sickened. But almost 3 million times per year, that’s exactly what happens. What should you do if you’ve been hurt on the job? First, get to a doctor as soon as possible.

What Are Preop Protocols?

Your doctor tells you that you need surgery. But successful surgery requires more than just showing up to the hospital on the right day. You and your doctor must make preparations to ensure the best outcome. Here’s what you — and they — have to do.

The Many Benefits of an Independent Medical Evaluation

You’ve been injured in a work-related accident, a car wreck, or other incident. When you file your worker’s compensation or other claim, you’re assigned an independent medical evaluator. But should you trust someone else’s IME?