Dream Factory by TruBridge Ideas Portal
When placing an order for testing, the tests need to have attached CPT codes. For example, order MRI of knee w/o contrast “CPT xxxxx” attaches to order.
We should then be able to assign the order to another staff member. (Like prior authorization)
For example - MRI ordered and then assign that order to prior authorization. Prior authorization can see the correct CPT code and begin prior authorization on this order. Then prior authorization should be able to note on the order where the prior authorization is at. Once PA is accepted, they can send order off to radiology (in this scenario) with the PA attached to the order.
Great idea! What a workflow improvement. PLEASE consider this!! There is currently a disconnect, no workflow coordination between ordering, prior auth, scheduling, the patient’s pre/or day of registration for th for the ordered test. Not to mention getting that prior auth info on the claim.
When updating this process please include fields to include the effective dates of the prior auth and the insurance company the auth was obtained from - that pull to registration and the claim. Our site began having issues during Covid of patients scheduled and prior auth’d for the MRI or joint injection, but they rescheduled when Covid rates would spike or just due to having Covid themselves. By the time they actually presented for the test their authorization dates expired &/or they changed MCD MCO plans. This has continued to be an issue.
With so many insurances increasing their prior auth requirements and decreasing span of auth dates we truly need the scheduling/prior auth/registration/ancillary order functions to communicate! Not to mention OR is still on EWS and requires another process to record, locate and get the prior auth info on the claim. If there is a means to do this I’m currently overlooking in the system please let me know.