Managing prior approval for site-of-service referrals: an algorithmic approach

Managing prior approval for site-of-service referrals: an algorithmic approach

Abstract Objectives Many payers and health care providers are either currently using or considering use of prior authorization schemes to redirect patient care away from hospital outpatient departments toward free-standing ambulatory surgical centers owing to the payment differential between these f...

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Bibliographic Details
Main Authors: Maqbool Dada, Vishal Mundly, Chester G. Chambers, Mohammad Ali Alamdar Yazdi, Changhun Ha, Sonia E. Toporcer, Yi Zhou, Yunong Gan, Zhihua Xing, Mark Mooney, Ernest Smith, Edward Kumian, Kayode A. Williams
Format: Article
Language:English
Published: BMC 2022-02-01
Series:BMC Health Services Research
Subjects:
Site of service referrals
Managed care
Medicaid managed care organizations
Online Access:https://doi.org/10.1186/s12913-022-07523-3

Internet

https://doi.org/10.1186/s12913-022-07523-3

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