Prior authorizations impose overwhelming burdens that cause unnecessary delays in needed care for patients. Delays in the authorization of prescriptions, tests, or procedures can cause needless anxiety for patients already stressed by uncertainty regarding their condition, particularly those with chronic conditions who have complex medical needs and depend on following strict treatment plans.
NYSSOS, working in collaboration with MSSNY and many of our specialty colleagues are advocating for changes to legislation and regulation to ease these burdens.
Resources
Read the NYSSOS support memo on expediting the prior auth process
We understand that the prior authorization process can be lengthy and burdensome. That's why AAOS created a Tip Sheet to help! It includes tips for physicians seeking approval, next steps if you've been denied, as well as guidance for peer-to-peer review.
AAOS created a template to help get you started with an appeal. Be sure to make copies of everything sent with the appeal for your records and use tracking if you're sending the appeal via mail.
