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You are here: Home / Articles / Prior Authorization Struggle Continues

Prior Authorization Struggle Continues

May 1, 2007 • By Staff

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Many Medicare Part D plans continue to request prior authorizations for several drugs commonly prescribed by rheumatologists. The ACR has been working diligently with Robert Bennett of the Physician Regulatory Issues Team (PRIT) to avoid the same problems many physicians had last year. PRIT advises all physicians to write “for Part D” along with the diagnosis on the prescription, to verify that the drugs are for Part D diagnoses and should not be paid under Part B. This way the administrators of the prescription drug plans (PDPs) can waive the need for a new prior authorization—saving time and money for physicians, pharmacists, and the PDPs.

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Questions or concerns? Contact the ACR’s Melesia Collins, CPC, or Resaee Freeman, CPC, at (404) 633-3777, or PRIT at PRIT@cms.hhs.gov.

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Filed Under: From the College, Practice Management Tagged With: Drugs, Medicare, Part D, prior authorizationIssue: May 2007

You Might Also Like:
  • ACR Introduces Prior Authorization & Step Therapy Resolutions at AMA Meeting
  • Reminder: How to Handle Part D Prior Authorization Requests
  • UnitedHealthcare Retires Fax Numbers Used for Prior Authorization Requests
  • Principles Would Streamline Prior Authorization Processes

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The Rheumatologist newsmagazine reports on issues and trends in the management and treatment of rheumatic diseases. The Rheumatologist reaches 11,500 rheumatologists, internists, orthopedic surgeons, nurse practitioners, physician assistants, nurses, and other healthcare professionals who practice, research, or teach in the field of rheumatology.

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ISSN 1931-3268 (print)
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