Prepare for a Seasonal Increase in Prior Authorization Requests

 |  Jessica Behrendsen

Article image

There is a busy season for everything, and for prior authorization (PA) that season is right around the corner. Here at CoverMyMeds, we spend months prepping for the inevitable increase in PA to ensure you have a seamless experience.

My office is crazy with PA at the start of a new year. Why do I receive so many requests?

During the months of January and February, prescribers historically have seen a 55 percent increase in the number of prescriptions that require PA. This increase is due to changes in prescription coverage, formulary modifications and renewal requirements.

That sounds like a big increase. What can I do to ease the burden?

Don’t panic! The 55 percent increase can seem daunting, but luckily our solution can remove the burden. If you haven’t yet, begin by registering for a CoverMyMeds account to easily find and track PA requests as they come in. By utilizing our electronic prior authorization (ePA) solution, you and your staff can be sure that everything is streamlined and accessible when PA season kicks off.

Not to mention, it will reinforce that you’re sending the correct form for all drugs and all health plans (including Medicaid and Medicare Part D) and that you’re complying with any state mandate around PA.

“It’s so much easier to get on CoverMyMeds and do a PA, than have different forms for all insurance plans or to sit on the phone for 30 minutes.”

― Health care provider

What else does CoverMyMeds' ePA solution offer?

There are numerous benefits of using CoverMyMeds. Here are a few more:

Link your Accounts

Link your accounts by forming a group so that everyone who deals with PA in your office has access to the same requests. This will help lighten the load.

You can set up group accounts by calling one of our PA Experts at 866-452-5017.

Initiate Renewals

Keep patients on therapy with PA Renewals! We will initiate a renewal directly in our portal once we receive notification of an expiring PA and send you a notice to complete. That’s one less PA you have to worry about, and one more patient adhering to their therapy.

Verify Your Providers

Verify your prescriber and their NPI so when a pharmacy sends a PA request to your office, the process can begin immediately.

You can verify when signing up for a CoverMyMeds account, or retroactively verify by clicking “prescribers” at the top of your dashboard. This will keep everything moving.

What if I still have questions?

CoverMyMeds has PA Experts ready to help you make it through the 55 percent increase. Call 866-452-5017 if you have any questions or click to chat at the bottom right corner of the screen.

Additionally, we’ve compiled a list of 10 Ingenious Things You Can Do with Your CoverMyMeds Account that explains in more detail what our platform offers for you, your staff and most importantly, your patients.

Share this article on Facebook Share this article on Twitter Share this article on LinkedIn Share this article via email
Stay up to date on what's trending in healthcare