The statistics utilized here are not cited and seem anecdotal. - PAS #190

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Medium
    • US Da Vinci PAS (FHIR)
    • STU3
    • Financial Mgmt
    • (profiles) [deprecated]
    • Use Cases and Overvi
    • Hide

      Remove "Payers indicate that this scenario may account for up to 50% of prior authorization transactions."

      Show
      Remove "Payers indicate that this scenario may account for up to 50% of prior authorization transactions."
    • Laurie Burckhardt/Mark Scrimshire: 31-0-0
    • Correction
    • Non-substantive

      Existing Wording: Attestation by the provider as to the patient need for a specific treatment or service. In this case, there is no specific clinical data required. Payers indicate that this scenario may account for up to 50% of prior authorization transactions. Such attestations are generally collected as answers to questions as part of QuestionnaireResponses completed within the EHR or via a a SMART on FHIR application.

      Comment:

      The statistics utilized here are not cited and seem anecdotal. These do not line up with what physicians are experiencing/reporting. Suggest removing the statistics or providing more reliably sourced statistics.

      Summary:

      The statistics utilized here are not cited and seem anecdotal.

            Assignee:
            Unassigned
            Reporter:
            Terrence Cunningham
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: