Financiers of care delay needed treatments: Richard Menger, WSJ, earlier this week. Needs to be fixed!
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Oh, it's clearly an intentional tactic. The more hoops you have to jump through, the less likely you are to jump through them and more likely you are to choose something that doesn't require prior auth. Even if you do jump through the hoops, delay helps their bottom line.
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The real "death panels", amirite? But they're for-profit, so somehow that makes them okay to a certain portion of the USA. I've had 4 claims denied b/c my kid supposedly had other insurance. We'd switched 18 months before & they were under the same corporation, just diff brands.
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Ugh. To make it worse, even PPOs are requiring pre autos for certain procedures.
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Auths too.
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I use a crayon on the forms sometimes. I don't know if that's a protest, or a sign of me going off the deep end of the wading pool.
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I just told them I might have to take the patient back to the operating room (which was true). What I was asking for was something to try to avoid reoperation. I can't get more specific than that. So in this case, denial of prior auth could be pennywise but pound foolish.
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What’s really funny (insert sarcasm) is that preauth does not guarantee insurance will actually pay. Daughter was preauthorized for 1-week of passive motion machine after major hip surgery. Insurance then denied payment as it was “medically unnecessary.”
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