Sentence examples for use of prior authorization from inspiring English sources

These abuses might include planned provider shortages in needed specialties (e.g. oncology, high-risk neonatology), delays in claims payment, and obstructionist use of prior authorization program.

The use of prior authorization policies resulted in similar effects.

Where previous studies examining prior authorization have experienced issues surrounding recall bias, this study presents data that more closely approximates the negative impact of prior authorization on primary care offices through the use of real time data collection via direct self-observation.

We also sought to identify any practice characteristics that may influence the time allocation and costs of prior authorization activities for these practices, such as staff composition and the use of electronic health record (EHR) systems.

"There's a latent danger that it will enter protected natural areas without any kind of prior authorization," Pino says.

No increase in use of preferred drugs (not requiring PA) Medicaid and Medicare claims 2001 2004 in Maine N = 5336 Maine N = 1376 New Hampshire (comparison state) Zhang et al. 2009 US Impact of prior authorization and copayments policy on medication continuity Prior authorization and copayments decreased medication continuity.

To analyze adherence to guidelines to prevent respiratory syncytial virus hospitalization and to a monthly immunoprophylaxis schedule in the absence of prior authorization requirements.

We suspect that our study under-estimates the true impact of prior authorization requirements on practices, clinician, and patients.

At completion of the study, we asked the practices to estimate the percentage of prior authorization requests they actually captured in the EFs during the study.

Nevertheless, the American Medical Association has called for standardization of prior authorization costs in response to the administrative and financial burdens that appear to be growing annually [ 14].

To limit excessive use of antibiotics, some hospitals have experimented with use of traditional prior authorization, either through a computer-assisted ordering process or prior authorization with the infectious diseases consultant on-call [ 12- 14].