Texas neurosurgeon's bill allows certain physicians to bypass prior authorization
By Admin | December 05, 2021
Certain physicians in Texas no longer require approval from insurers for some medical procedures, treatments or drugs thanks to a new law that took effect Sept. 1, according to Houston Public Media.
Physicians who are approved 90 percent of the time for a service will receive "gold card" status and be exempt from the prior authorization process, which requires providers to get permission from insurers before delivering certain medical services.
State Sen. Greg Bonnen, MD, R-League City, a spinal neurosurgeon with Houston Physicians' Hospital, wrote the bill.
Many insurance plans require prior authorization for orthopedic procedures, imaging and medications, but it is becoming an increasing pain point for providers, who say the policy brings increased administrative burdens and takes away from...(More)
For more info please read, Texas neurosurgeon's bill allows certain physicians to bypass prior authorization, by Becker's SpineReview