Sentence examples for requiring prior authorization from inspiring English sources

The EFs were used to document data on the medical service requiring prior authorization; the category of insurance provider authorizing the intervention; the category of staff member documenting the activity (provider, nurse, office assistant, clerical, etc).

In July 2012, for example, Blue Cross Blue Shield of Massachusetts began requiring prior authorization for more than a 30-day supply of opioid medication within a two-month period.

Many health insurance companies also impose barriers — like requiring prior authorization for tests and treatments and denying payment for covered services, which forces patients to appeal — to discourage patients from using the medical services for which they are insured and to attempt to avoid paying for those services.

Examples include insurers suddenly dropping a medication from coverage, abruptly requiring prior authorization for a drug the patient has been effectively taking or significantly increasing co-pays to the point that a patient can no longer afford the medication.

Total medical costs increased Medicaid claims from 24 states 2001 2008 170,596 patients with BP and 117,908 with SCZ Seabury et al. 2014 US Impact of requiring prior authorization (PA) for more expensive medications on the discontinuation of antipsychotics and anticonvulsants Higher rates of discontinuation of all medication treatment.

The services requiring prior authorization within these practices included medication, laboratory testing, radiologic testing, medical equipment, nursing, occupation and physical therapy, and other procedures; data on specific medications requested were not collected in this study.

37 In addition, requiring prior authorizations for various treatments reduces the time that providers, especially nurses, can spend with patients, which may negatively affect providers' perceptions of the quality of care they administer.

Do they require prior authorization?

He, too, wants to require prior authorization.

Financial transfers of more than about $50,000 would require prior authorization.

Others require prior authorization for some drugs — meaning that the doctor has to make a special call to the insurer.