Tuesday, March 11, 2014

ACC Statement on Pre-authorization

The American College of Cardiology has come out with a position statement warning that scan pre-authorization policies by insurance companies may limit patient access to care. Denials from the insurance companies are frequently at odds with American College of Cardiology established Appropriate Use criteria.

COMMENT: I have yet to see an insurance representative take me up on my offer to have them see the patient, and have them take responsibility for their health. Pre-authorization has not been conclusively shown to reduce costs (the ACC position statement addresses this issue in detail) but it certainly increases clinic overhead costs and reduces patient access to care.

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