On Sept. 25, Becker’s Spine Review published an article titled, “‘No other industry would tolerate this: The problem with prior authorization in spine surgery.” Neurosurgeons Anthony M. DiGiorgio, DO, MHA, FAANS; Praveen V. Mummaneni, MD, FAANS and Luis M. Tumialán, MD, FAANS, discuss prior authorization and the significant problems physicians face when it comes to receiving fair payments for services offered. Denial of payment after prior authorization has become a grim reality in American health care. Insurance companies authorize procedures, and surgeons perform them as approved. Then, the insurance company denies payment. Patients ultimately bear the brunt of this charade, the authors state.
On Oct. 6, Neurosurgery Blog published a cross-post to amplify the message.