Advanced Imaging Prior Authorization Form

Instructions and help about Advanced Imaging Prior Authorization

hello this is dr. Eric Bricker and thank you for watching a healthcare Z today we're going to be discussing prior authorization or when it sometimes refer to as pre server recertification now what I have here is a flow chart of how prior authorization works and it's based off of a chart from a company that actually automates this process and I'll leave a link to their blog post in the show notes now a doctor will order a specific test or procedure it might be a lab test it might be advanced imaging like CT or MRI it might be that the orthopedist wants to do an arthroscopic knee surgery or a knee or hip replacement then that will then go to the lab or the imaging facility or the hospital and then the hospital or the imaging facility etc we'll check to see if prior authorization is needed and that's important because every insurance carrier is different and every one of the plans within each insurance carrier is different as well because remember especially if you're a self-funded employ