All articles Denial Management

Prior Authorization Playbook for Busy Clinics

A practical playbook to reduce auth delays, abandoned orders, and “no auth on file” denials.

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Auth delays are revenue delays

Prior authorization friction quietly cancels procedures and creates hard denials when teams rush.

Keep a living matrix of CPTs that require auth by top payers, and update it quarterly.

Start earlier than you think

Kick off auth at the moment of clinical order. Track submission date, reference number, and expected turnaround.

Never let an auth number live only in a fax pile — put it on the encounter and the claim.

Measure abandonment

Track how many ordered services never reach claim because auth stalled. That metric often unlocks staffing or vendor help.

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