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 of services must always be checked for precertification requirements with the patients’ carrier before the service is performed:
- Echocardiograms
- Stress Echocardiograms
- Nuclear Stress Tests
- Ultrasounds
- Arterial Dopplers
- Carotid Dopplers
- Venous Dopplers
- Bilateral Lower Extremity Angiograms (BLE)
- Vascular Angiograms
- Venograms
- Heart Catheterizations
- Percutaneous Coronary Intervention (PCI)
- Cardiovascular Stents
- Endovenous Radiofrequency (RF) Ablations
- Laser Ablations
The Pier 17 Authorizations Department is experienced and knowledgeable in obtaining prior authorizations for all Cardiology, Interventional Cardiology, and Vascular Surgery services. We know what documentation is required for establishing medical necessity with each insurance carrier.
By outsourcing your prior authorization tasks to our trained professionals, providers can build a proactive and dedicated approach for submitting complicated prior authorization requests that result in higher approval rates and prompt responses. Most importantly, it will avoid costly delays and medical denials based on missed, lapsed, or denied authorization requests. Contact us today!
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