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Topics:
Psychiatry • General Outpatient Psychiatry • Depression • Psychotic Disorders • Major Depressive Disorder
What strategies have you found most effective for obtaining prior authorization for newer antipsychotics and antidepressants?
How do you determine which medications are most likely to require prior authorization? How do you streamline the prior authorization process and fit it into a busy clinical schedule? What clinical rationales or documentation approaches have you found improve approval rates? How do you handle denials?
Answer from: at Community Practice
I attempt to avoid all insurance issues, as I have a cash based outpatient practice, and make it clear to patients that my interactions with their insurers will be minimal, if at all. But what I have found, in limited cases, is that demonstrating a failure on 2 of the formulary approved choices ten...
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