Determine if prior auth is required and submit a request along with any additional diagnosis and procedure codes and required medical records. Ensure prior auth requests are thorough and accurate to improve turnaround time.
Obtain well-timed auth statuses via payer portals and return detailed information in your EHR to drive follow-up workflows. Ease staff burden and frustrations from tedious status checks.
Notify payers of inpatient admissions, attach medical records as required, and document the notification in your EHR. Minimize reimbursement issues with timely notice of admissions (NOA).
Cynde McCall — Director, Patient Access and Health Information at Methodist Health System