mastodon.ie

2 posts2 participants0 posts today

Jennifer Hamilton, MD PhDToday's <a href="https://med-mastodon.com/tags/PriorAuthorization" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PriorAuthorization</a> rage: I'm trying to get a continuous glucose monitor for a diabetic patient. I prescribed the one her insurance prefers -- but prior auth is needed. Pt told me she was denied, because I didn't provide info. As near as I can tell, my office never got a request for info. So today I call to give the information. After 10+ minutes of prelim, rep tells me I CAN'T give info over phone. They need to fax me a form. I'm not at office. Sorry, it's got to be a fax.

Bytes EuropeCA bills aim to cut red tape around health care access <a href="https://www.byteseu.com/908787/" rel="nofollow noopener noreferrer" translate="no" target="_blank">https://www.byteseu.com/908787/</a> <a href="https://pubeurope.com/tags/approval" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#approval</a> <a href="https://pubeurope.com/tags/BodyDamage" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#BodyDamage</a> <a href="https://pubeurope.com/tags/CaliforniaBills" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#CaliforniaBills</a> <a href="https://pubeurope.com/tags/CaliforniaCapitol" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#CaliforniaCapitol</a> <a href="https://pubeurope.com/tags/CaliforniaMedicalAssociation" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#CaliforniaMedicalAssociation</a> <a href="https://pubeurope.com/tags/CaliforniaPolitics" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#CaliforniaPolitics</a> <a href="https://pubeurope.com/tags/delay" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#delay</a> <a href="https://pubeurope.com/tags/Health" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Health</a> <a href="https://pubeurope.com/tags/HealthCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#HealthCare</a> <a href="https://pubeurope.com/tags/HealthCareAccess" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#HealthCareAccess</a> <a href="https://pubeurope.com/tags/HealthPlan" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#HealthPlan</a> <a href="https://pubeurope.com/tags/Hospitalization" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Hospitalization</a> <a href="https://pubeurope.com/tags/legislation" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#legislation</a> <a href="https://pubeurope.com/tags/PermanentInjury" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PermanentInjury</a> <a href="https://pubeurope.com/tags/physicians" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#physicians</a> <a href="https://pubeurope.com/tags/PriorAuthorization" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PriorAuthorization</a> <a href="https://pubeurope.com/tags/RedTape" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#RedTape</a> <a href="https://pubeurope.com/tags/StateLawmaker" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#StateLawmaker</a> <a href="https://pubeurope.com/tags/supporter" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#supporter</a> <a href="https://pubeurope.com/tags/Wednesday" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Wednesday</a>

Bytes EuropeSenators advance several meaty health bills • Indiana Capital Chronicle <a href="https://www.byteseu.com/677755/" rel="nofollow noopener noreferrer" target="_blank">https://www.byteseu.com/677755/</a> <a href="https://pubeurope.com/tags/Health" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Health</a> <a href="https://pubeurope.com/tags/HealthCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#HealthCare</a> <a href="https://pubeurope.com/tags/HealthCareCosts" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#HealthCareCosts</a> <a href="https://pubeurope.com/tags/insurance" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#insurance</a> <a href="https://pubeurope.com/tags/NonCompete" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#NonCompete</a> <a href="https://pubeurope.com/tags/NonCompeteAgreement" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#NonCompeteAgreement</a> <a href="https://pubeurope.com/tags/pbm" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#pbm</a>'s <a href="https://pubeurope.com/tags/PharmacyBenefitManagers" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PharmacyBenefitManagers</a> <a href="https://pubeurope.com/tags/PriorAuthorization" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PriorAuthorization</a>

Dr. ZekeToday I wrote this in a clinical note (yes in all caps):"IN CASE AN INSURER IS READING THIS DOCUMENT, PLEASE CONTACT DR. MCKINNEY TO DISCUSS THE PATIENT'S CHRONIC MEDICAL CONDITION AND HOW TREATING IT CORRECTLY (RATHER THAN DENYING CARE) WILL SAVE YOU MONEY."That's screaming into the ether because I can't seem to navigate <a href="https://med-mastodon.com/tags/PriorAuthorization" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PriorAuthorization</a> processes despite many very long phone calls and attempts. Yay.

Merrit DeBartolo MD (he/him)I went to medical school to treat cancer, blast kidney stones, and help patients enjoy their sex lives.You went to medical school to help insurance companies deny patients life-saving care.We are not the same. “Peer to peer“ my ass. <a href="https://med-mastodon.com/tags/PriorAuthorization" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PriorAuthorization</a> <a href="https://med-mastodon.com/tags/PeerToPeer" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PeerToPeer</a>

Catherine Collingwood Estes"Authorizations, provider eligibility and code inaccuracies were among the health system officials said <a href="https://rcsocial.net/tags/HealthInsurance" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#HealthInsurance</a> <a href="https://rcsocial.net/tags/Claims" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Claims</a> are denied, according to a recent report." <a href="https://rcsocial.net/tags/Denial" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Denial</a> <a href="https://rcsocial.net/tags/PriorAuthorization" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PriorAuthorization</a> <a href="https://rcsocial.net/tags/Networks" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Networks</a> <a href="https://www.beckershospitalreview.com/finance/13-top-reasons-for-claims-denials.html" rel="nofollow noopener noreferrer" target="_blank">https://www.beckershospitalreview.com/finance/13-top-reasons-for-claims-denials.html</a>

Catherine Collingwood Estes"The agency proposed in a rule last year to mandate plans in government programs adopt electronic <a href="https://rcsocial.net/tags/PriorAuthorization" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PriorAuthorization</a> systems by 2026." <a href="https://rcsocial.net/tags/HealthInsurance" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#HealthInsurance</a> <a href="https://rcsocial.net/tags/ManagedCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#ManagedCare</a> <a href="https://rcsocial.net/tags/CMS" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#CMS</a> <a href="https://www.fiercehealthcare.com/providers/providers-press-cms-finalize-prior-authorization-reforms-alleviate-major-administrative" rel="nofollow noopener noreferrer" target="_blank">https://www.fiercehealthcare.com/providers/providers-press-cms-finalize-prior-authorization-reforms-alleviate-major-administrative</a>

Hannu Ikonen, MDAll a Prior Authorization is, is an insurance filibuster to delay care until the patient:1. Resigns to suboptimal alternatives that are often based on formulary and behind closed doors handshake / handjob kickback agreements2. Quits trying3. Dies<a href="https://med-mastodon.com/tags/PriorAuthorization" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#PriorAuthorization</a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastodon</a> <a href="https://med-mastodon.com/tags/Capitalism" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Capitalism</a>

Recent searches

Search options

Administered by:

Server stats:

#priorauthorization