In my specialty, I sometimes get patients who claim to have a referral from a PCP but actually dont. Do I need an authorization to verify that were referred to me?
No. You are not disclosing information about the patients health. You are not talking about a specific condition. You are calling for verification only. Q: I see elderly patients with different PCPs. Sometimes, its difficult to get an authorization form because the patient is not coherent or does not understand what Im asking. How should I get an authorization in this case? A: There is no need for the patient to get an authorization from the PCP. Authorizations are not required for TPO.
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