Managing prior approval for site-of-service referrals: an algorithmic approach

• Main Authors: Maqbool Dada (Author), Vishal Mundly (Author), Chester G. Chambers (Author), Mohammad Ali Alamdar Yazdi (Author), Changhun Ha (Author), Sonia E. Toporcer (Author), Yi Zhou (Author), Yunong Gan (Author), Zhihua Xing (Author), Mark Mooney (Author), Ernest Smith (Author), Edward Kumian (Author), Kayode A. Williams (Author)
• Format: Book
• Published: BMC, 2022-02-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Abstract Objectives Many payers and health care providers are either currently using or considering use of prior authorization schemes to redirect patient care away from hospital outpatient departments toward free-standing ambulatory surgical centers owing to the payment differential between these f...