Medical Authorizations Made Easy

When a patient's health insurance plan requires authorization for a procedure, the medical staff are responsible for completing a case. This book was designed to help medical staff navigate authorizations, also known as pre-certifications or prior authorizations. The information contained here details both a process and philosophy while striking a balance between being clinical and patient-centered. With these tools, staff can work more effectively and expeditiously.

Cover art by Jason Brandli.

This book will provide information on the following: managing office information, insurance information, procedure, diagnosis, facility, dates of service, record keeping, case management, referrals, liaising, and patient relations. It also includes a "Quick Reference in Seven Steps" as well as a glossary of over 30 pertinent terms.