It's been a year and a half since Prior Authorization went into effect here in New Jersey. There have been some unintended consequences, but for the most part it seems that the program has been successful. As one of the state's largest ambulance and medical transportation companies, we have gained plenty of experience in complying with these new regulations.
To assist our various partners, we've put together a list of explanations and key terms that health care workers can use to increase chances of approval. This list is by no means exhaustive, but we think it's a good start. If you have questions that are more in-depth or specific to your organization, we'd be happy to schedule a compliance consultation visit.
