Dr. Elizabeth’s Story
77M patient with history of laboratory confirmed hypogonadism on long standing testosterone transdermally called office to request standard refill of testosterone. Somehow/someone accidentally linked “erectile dysfunction” as the indication triggering a LONG PROCESS of PAs from medicare, doctor personally wrote letter on patients behalf stating the case, denials, 2nd request-> denial, 3rd request -> court hearing which is now pending in Mid April
Dr. Enno’s Story
My recent experience with UHC Medicare Advantage prior authorization showed serious communication issues and delay issues on a knee procedure that was so obviously needed that it should have not required prior authorization, particularly with the MRI showing a clear indication for surgery.
Marlynn’s Story
I am a Medical Assistant in Dermatology, been working for the same company for 7 years this August. I took over medication prior authorizations about 4 years ago. In my experience medication authorizations are lengthy and delay patient care. We can be the best, but the delay in response on medication determinations makes us look bad.
Dina’s Story
I needed a CT of the chest because of some pulmonary nodules found on a previous CT 4 years ago. I had to go get a chest X-ray before they would approve a chest CT. That was a waste of my time and money.
Dr. Patrick P’s Story
A patient was controlling their high blood pressure with medication. The insurance company changed which prescription it would cover, but the patient had a previous bad reaction to that specific drug.
Dr. Patrick B’s Story
I have a transgender patient who has completed 2 of 3 planned surgeries for a phalloplasty, but the 3rd and final procedure has been hung up in the approval process for weeks and the original surgeon is threatening to cancel his planned procedure.
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