Physician voices

Prior authorization delays run on 3 clocks, not just 1

When a surgeon tells a patient, "You need surgery," the patient understandably hears that the next step is scheduling it. Inside the practice, however, an entirely different process is just beginning. The clinical decision must be converted into documentation. The…

When a surgeon tells a patient, “You need surgery,” the patient understandably hears that the next step is scheduling it. Inside the practice, however, an entirely different process is just beginning.

The clinical decision must be converted into documentation. The documentation must be translated into the language of a payer’s policy. The request must reach the organization that actually controls the decision. Only then does the formal review begin.

Prior authorization is …

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Prior authorization delays run on 3 clocks, not just 1