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Is Time Spent on Prior Authorizations Associated With Approval?
Vinayak Madhusoodanan1, Libert Ramos1, Isaac J Zucker1
1Vinayak Madhusoodanan, MD, is a Urology Resident at Desai Sethi Urology Institute, Miller School of Medicine, University of Miami in Miami, FL. Libert Ramos, DNP, is a Advanced Practicing Registered Nurse at Desai Sethi Urology Institute, Miller School of Medicine, University of Miami. Isaac J. Zucker, MS, is a Medicine Student at Desai Sethi Urology Institute, Miller School of Medicine, University of Miami and the Herbert Wertheim School of Medicine, Florida International University in Miami, FL. Aditya Sathe, BS, is a Medical Student at the College of Medicine, University of Tennessee Health Science Center in Memphis, TN. Ranjith Ramassamy, MD, is the director of Male Reproductive Medicine at the Department of Urology, University of Miami.
Abstract:
Advanced practice providers increasingly assume responsibility for prior authorizations (PAs). We hypothesized that the time burden of PAs will be correlated with increased approval. We collected several variables (ie, type, method, time spent, use of peer to peer, and outcome) for all PAs completed by a departmental nurse practitioner in 1 region. Chi-square tests and 2 sample t tests were used to assess significance. There was no significant association between the method of request, the number of attempts, and the time spent to approved PA. Further research is needed to determine ways to decrease the time and opportunity cost associated with PAs.
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