January 2024

Top 15 Services Requiring Prior Authorization for Cardiologists, Interventional Cardiologists, and Vascular Surgeons

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Cardiologists face some of the most stringent pre authorization requirements of all the medical specialties. From routine echocardiography to complicated surgical procedures, insurance carriers are demanding an increasing layer of oversight over patient care through the prior authorization process.   As a rule of thumb, for Cardiologists, Interventional Cardiologists, and Vascular Surgeons, the following fifteen categories …

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Prior Authorizations for Cardiologists

Prior Authorizations for Cardiologists: Everything You Need to Know 

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Cardiology practices face some of the biggest burdens when it comes to obtaining prior authorizations for necessary diagnostics and procedures. Today, everything from Echocardiograms, Dopplers, and Ultrasounds, to procedures like Cardiac Catheterizations and Stents require prior authorization. Interventional Cardiologists face an even higher burden when it comes to precertification requirements, often requiring patients to return …

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How to Receive More Approvals on Your Prior Authorization Requests

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The first step to getting your prior authorization requests approved is to submit them with all required supporting documentation. While many insurance companies are making efforts to shorten prior authorization request turnaround time, currently between 2 to 14 business days, this process is often slow and cumbersome, and incomplete applications just add to the overall delays …

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Precertification Request

How to Create a Precertification Request

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Prior authorization requirements for diagnostics and procedures are evaluated on a case-by-case basis. There are no streamlined requirements for prior authorization among the various insurance carriers, and each case must be processed individually. For carriers requiring prior authorization, it may be obtained by phone, web portal, or other submission methods depending on carrier requirements. In any of …

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