Prior Authorization Required.
I had a office call me back on a PA. She gave me the number Medicaid gave her. I run it through the phone system. Ok. Ran the script. Came back DENIED.
If medicaid DENIES it, why the frick would you give it to me? You chose to write for Ortho-Tri-Cyclin DAW, you either get the PA or take off the DAW, not give me a DENIED number and let me have to tell the patient that I can’t magically make it work.
Oh and do all this at 2 mins to 5 so you are closed when I try to call you back…
Medicaid does not cover Brand name without a PA. EVER. (few notable exceptions). You know it, and I know it. I noticed right away that it was DAW and informed the patient about the PA.
Your office didn’t. Why? Cause you don’t want to tell them bad news? You’ll tell them they have cancer, but you won’t tell them that it might be a week before your office staff bothers to retrieve my fax and actually do something? (after sending me a “+6 refill OK’d” or three.)
I’m the one who has to cover for you, take your flak for you writing stuff thats not covered.
If your Patient wants DAW, and you write it, why not just get the PA BEFORE that script leaves the office?
Tags: Doctors, Frustrations, Insurance | |
