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#fixpriorauth

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MRI ordered for pt with lumbar DDD & severe sciatica with paresthesia for months. Can't stand to do work. No improvement with conservative treatment. Prior auth peer denied b/c "doesn't meet medical necessity". Wrote appeal w/ exactly same info and it was approved.

Today's prior auth: Followup lung CT recommended by radiology because of concerning masslike opacity in 90-pack-year smoker. All info clearly in patient's chart. Why did I need to do a peer-to-peer again? @MedicineForward@twitter.com @ACPinternists@twitter.com

I'm in the process of cutting down my health policy book from 153,000 words to ~100,000 words, and this is my first read-through of the manuscript in a couple of months.

Almost forgot how depressing and infuriating it is. Almost.

But it is a real gift to be able to share these stories of the trials of navigating health insurance barriers to coverage. Feeling honored, and hoping to do justice to these patient and physician experiences. #healthpolicy #FixPriorAuth

Continued thread

Finance Committee Senators who have not yet cosponsored S.3108:

Ron Wyden
Mike Crapo
Chuck Grassley
Maria Cantwell
John Cornyn
Robert Mendez
Richard Burr
Patrick Toomey
Tim Scott
Mark Warner
Todd Young
Ben Sasse
John Barrasso

@MedicineForward@twitter.com @ACPinternists@twitter.com