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Post# A167727

Prior Authorization and It's Impact on Practice Collection (USA)

Posted on: Thursday, 10 January, 2019  14:54
Updated On: Thursday, 10 January, 2019  15:17
Expires On: Friday, 10 January, 2020  21:54
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Prior authorization is a check run by some insurance companies or third-party payers before they will agree to cover certain prescribed medications or medical procedures. There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic alternative, or checking for drug interactions. A failed authorization can result in a requested service being denied, or an insurance company requiring the patient to go through a separate process known as “step therapy” or “fail first”. Step therapy dictates that a patient must first see unsuccessful results from a medication or service preferred by the insurance provider, typically considered either more cost-effective or safer before the insurance company will cover a different service. To know more visit us: http://bit.ly/2Fj9JP1 » or email us at- info@medicalbillersandcoders.com or call us at- 888-357-3226 (Eight-Eight-Eight-Three-Five-Seven-Three-Two-Two-Six).

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