What kind of response time can ordering physicians expect for precertification?
A.4. NIA, generally, requires two business days to review a request for medical necessity. In certain cases, the review process can take longer if additional information is required to make a determination. In many other cases, especially when the caller requesting the review has ample clinical documentation, a case meeting the initial screens can be authorized during the first phone call. In general, as the radiology initiative is in the start-up mode, 70 percent of the requests are being approved during the initial phone call.
