Medical Billing Forum

General Category => General Questions => Topic started by: medicoderick on April 09, 2013, 04:36:57 PM

Title: Trying to find discussions on Pre- Authorizations for Drug injection
Post by: medicoderick on April 09, 2013, 04:36:57 PM
Hi All, Can someone direct me to where I could find any forum discussions regarding Pre-Authorizations for drug injections.
I do coding at a retina clinic in Honolulu, and our billing dept is having problems obtaining pre-auths for injection treatments that are deemed necessary, after diagnostic exams, at the time of visit. We cannot determine which drug ( one out five ) the doctor will be administering prior to the visit and therefore cannot obtain the necessary authorizations required for reimbursement. Some of these cost $2000. We have requested from the insurance companies authorizations that would cover all five of the drugs that we use but have been refused. Any suggestions would be greatly appreciated. Aloha