Important Billing & Insurance Information

Recently, obtaining approvals for certain medications, and referrals for specialized tests like Radiology and Nuclear Stress Testing, among others, requires significant time and effort. This often involves both doctors and staff navigating through numerous forms and multiple attempts, resulting in a time-consuming process. It's become so demanding that it now requires a full-time person just to manage these tasks.

Additionally, many insurance companies now require prior authorizations to be renewed on a yearly basis, adding another layer of administrative burden. Unfortunately, we've found it true that insurance companies frequently impede and deny necessary care, forcing us to sometimes refer patients to Emergency Departments where prior approvals are not necessary, just to ensure timely access to tests.

This situation reflects a concerning trend where insurance companies are increasingly prioritizing administrative tasks over direct patient care. Many doctors find themselves spending an additional 3-4 hours each night just to keep up with these administrative issues. It's a troubling reality that seems to worsen with each passing year.

Due to the new administrative burden insurance companies are requiring us to perform on your Prior Authorizations and Appeals we will be charging you between $40 to $100, depending on the time involved.