Routine Spine Surgery and Prior Authorization

[somarco]

Prior authorization has become a thorn in the side of physicians across specialties, and spine is no exception.

My wish for 2024 is the disappearance of prior authorization for routine spinal surgery such as lumbar microdiscectomy/laminectomy, cervical disc replacement, anterior cervical disc and fusion, lumbar disc replacement and lumbar interbody fusion. Prior authorization delays treatment for patients on a regular basis and jeopardizes patient care and safety. My office spends countless hours on the phone on authorizations that are either denied or not responded to by insurance frequently. Routine surgeries, as mentioned above, should not require prior authorization. This way, patient care won't be jeopardized by an insurance company's denial or lack of response.

Spine's prior authorization problem

Discover the healthcare trend spine surgeon Dr. Alen Nourian hopes disappears in 2024: prior authorization for routine spinal surgeries.

www.beckersspine.com

I am certain agents on this forum will consider PA for routine spinal surgery a rarity, as it never happens with their policyholders. But other readers who have open minds may be enlightened by this information.

The mind is like a parachute. It functions best when opened.

 

[ICACharleston]

My office spends countless hours on the phone on authorizations that are either denied or not responded to by insurance frequently.

And I thought MedSups didn't require Prior Authorization.

 

[somarco]

And I thought MedSups didn't require Prior Authorization.

Medigap does NOT require PA.

 

[Fisher]

And I thought MedSups didn't require Prior Authorization.

Somarco has an odd way of not attributing quotes when he is referencing an article; hence, it appears that he is the one saying/typing the words.

In this instance, he's actually just copying and pasting an article from some place called Becker Spine but it's hard to tell that if you are not aware of his idiosyncracies.

 

[Special Agent]

Somarco has an odd way of not attributing quotes when he is referencing an article; hence, it appears that he is the one saying/typing the words.

In this instance, he's actually just copying and pasting an article from some place called Becker Spine but it's hard to tell that if you are not aware of his idiosyncracies.

He is the Philosopher King of medicare supplements.He doesn't
t steer any prospects away from MA or towards medigap he simply enlightens prospects of the ways of original medicare then closes by saying " you have chosen well "