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Authorizations workflow - advice

CPS, C-EMR, PM

Last Post by Anonymous 1 second ago

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angelahunsberger

(@angelahunsberger)

Posts: 290

Reputable Member

Topic starter

Hello, how do you manage Authorizations for testing, imaging, procedures, or high cost medications? In orders setup, you can state if a Pre-authorization is required but then you have no "signal" when the order is put in NOR do you have the option to filter for that in an EMR inquiry.

What do you do for these? How do you alert the referral coordinator or test coordinator that an authorization is needed? Any workflow details are very much appreciated.

Posted : August 30, 2016 2:22 am

gibsonmi

(@gibsonmi)

Posts: 827

Prominent Member

Hi Angela,

We have a very specific form that staff are trained to fill out for high value procedures and medications. The physician notifies his/her support staff when one of the procedures or meds needs to be authorized for a future appointment. The staff fills out the form, and routes it to a proxy user. A pool of staff works the auth, makes notes, and signs the document when complete. The appointment is scheduled by the support staff up front. If there are any issues in the auth process, the admin staff working the auth communicate directly with the patient, rescheduling if necessary or sending info to the physician. Hope that helps!

Mike

Posted : September 6, 2016 4:09 am

avigxs00

(@avigxs00)

Posts: 7

Active Member

Hello,

We are currently in need of a form and a way to run an inquiry on authorizations that are both internal and external. Are you able to share the specific form that you use with the workflow mentioned? Please advise.

Posted : November 12, 2018 5:56 am

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