PRACTICE PEARLS

 

Fam Pract Manag. 2021 Jul-Aug;28(4):34-35.

USE DEDICATED STAFF TO EASE PRIOR AUTHORIZATIONS

The ultimate solution to managing prior authorizations would be to eliminate or greatly reduce them. But until we get to that point, there are things we can do in our practices to help reduce the burden. One way to streamline the prior authorization process is to use dedicated staff. This allows employees to become familiar with each payer's prior authorization requirements. These staff members will know what information to look for and where to find it, which will reduce administrative time when completing prior authorizations. They may have other administrative or clinical duties, but part of their role is to obtain prior authorizations for prescription drugs, procedures, and supplies.

When identifying dedicated staff for this task, make sure they understand medical and insurance terminology as well as basic requirements for obtaining prior authorizations. This will reduce the need to refile supporting information.

Other ways to ease prior authorizations include using web portals or other electronic methods to submit requests, when permitted, and developing electronic health record (EHR) templates that remind physicians and staff what information needs to be provided in each request.

Editor's note:

For additional tips, see “Beating the Prior Authorization Blues,” FPM, September/October 2016, https://www.aafp.org/fpm/2016/0900/p15.html.

 

LEVERAGE YOUR EHR TO SAVE TIME ON DRUG RECALLS

EHRs can be a major time saver when prescription medications are recalled.

Most EHRs will allow physicians or their staff members to search for the name of the recalled drug and quickly compile a list of all of their patients who are currently taking it. Some EHRs also allow practices to generate a standard message about the

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Practice Pearls presents readers' advice on practice operations and patient care, along with tips drawn from the literature. Send us your best pearl (250 words of less), and you'll earn $50 if we publish it. We also welcome questions for our Q&A section. Send pearls, questions, and comments to fpmedit@aafp.org, or add your comments below.

 
 

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