Medscape outlined five ways to help the prior authorization process go more smoothly.
The key details to know:
1. Look at authorization status in advance. Check whether a drug or procedure requires prior authorization before billing insurance to make the process easier.
2. Give proper paper documentation. The rules surrounding the documentation needed for prior authorization vary depending on the treatment or surgery.
3. Leverage EHRs. EHR software can be used to get prior authorization for prescriptions.
4. Appeal denials. Be persistent when filing appeals and be sure to regularly follow up with the payer.
5. Outsource cases. Using processing companies such as AuthNet or Azalea Health can help secure appeals .