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Revenue Cycle
Prior Authorization Process
| Term | Definition |
|---|---|
| Step 1 | Organization submits request to payer |
| Step 2 | Payer's UR dept reviews |
| Step 3 | UR approves, modifies, or denies request |
| Step 4 | Response is returned to organization |
| Step 5 | Organization documents request status in the EHR |
| Step 6 | Schedules/Reschedules service or procedure |