The Nurse's Auth: A Case Study

Decent Essays
Cathy, I was with Maranda when she was conversing with the nurse. Maranda was on call with a provider regarding a claim that was denying due to an POS on an auth. Maranda was simply asking the nurse if she would change the POS from a 11 to a 12. The nurse then refused due to reasons given by her Director S. Robinson. Normally, when we reach out to the nurse they will help us by correcting an auth in Facets. The dialogue to the nurse was only regarding an authorization not the claim.

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