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