A Prescription for Meeting the Prior Authorization Challenge

By Dan Rubin, CEO

prescriber-solutions

In this blog so far, you’ve heard our insights into how to best meet the prior authorization (PA) challenge – we hope you’ve found our posts to be relevant and helpful to your practice. Over the coming months, we’re going to add outside voices to the blog, sharing the experiences of physicians and their practice managers across different therapeutic areas. Whether you’re in an ophthalmology or optometry office, you’re an OB/GYN or a gastroenterologist, or another specialty, PAs are a pain point for which every physician practice can use a prescription!

As a sneak preview to this series, here are some examples of how taking on the PA challenge through partnering with PARx has helped physician practices, in their own words:

“I didn’t use to do a lot of PAs. But now, more of the medications I prescribe require them. I used to be like most doctors I know – if I knew a medication needed a PA I avoided it. The PASS system is good because PARx knows how to expedite the process. With PARx, it is much easier for my practice, and there is no cost – using PARx is a no brainer.” – an OB/GYN in Alabama


“Before we used PARx, we tried a PA service that just provided the forms, meaning that if the PA was denied or there was an issue, we had to call the insurance companies ourselves, which was time consuming and frustrating. I would rather go through gum surgery than do that again! Now, with the PASS system, our patients are getting what the doctor is prescribing more often and in a more reasonable amount of time.” – Practice Manager for an Optometrist in Massachusetts


“In the past, we were in a real bind when the prescription was denied for a medication for which there really was no substitute. Since we started using PARx, we see a lot more approvals, and our patients are really happy when they can get the medication they and the doctor want.  Plus, I and the rest of the practice staff have more time to help the patients in front of us instead of sitting on hold with the insurance company, where we would wait 15-20 minutes just to talk to a live person. On the PASS system, it takes a fraction of that time to enter all the information, and then their people take it from there. So much easier.” – Practice Manager for an Endocrinologist in New York City

Sound familiar? Stay tuned for more stories on how meeting the PA challenge is good for your staff, your patients, and your bottom line.

 

ODs get assistance with prior authorizations for prescriptions

Primary Care Optometry News, November 2016

Optometrists say they are providing better patient care by using a prior authorization service that facilitates patients receiving insurance coverage of necessary medications.

PARx Solutions’ free support system helps prescribers and their staff process prior authorizations (PAs) without having to call insurance companies and search for forms.

“For a practitioner, prior authorization is a frustrating and burdensome process,” Dan Rubin, PARx Solutions president and CEO said in an interview with Primary Care Optometry News. “We are trying to make sure patients can get the medication best suited to treat their condition. We want to remove hurdles and give doctors power and confidence to write the prescription and have a strong likelihood that patients can get the medicine.”

Harvey Richman, OD, FAAO, FCOVD, a PARx user and private practitioner from Manasquan, N.J., told PCON that this service helps him make better clinical decisions.

“You can request prior authorization in under 3 minutes, which gets medications to patients sooner,” he said.

Read the full article