Discuss how this scenario affects health care systems

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Assignment:

Ms.G's physician has ordered outpatient physical therapy for her gout. When calling to make an appointment, the receptionist states, "we will need to get an authorization from your insurance before your initial visit." The next day, the PT clinic calls Ms. G and explains that the insurance company will not approve outpatient therapy at this time.

  1. Discuss how this scenario affects health care systems and direct patient care.
  2. Discuss ideas to make this process better.
  3. Provide a personal experience or one from someone you know in which they received a denial or limitation of care.

Please include references.

 

 

 

Reference no: EM133628791

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