Spine’s prior authorization problem

Prior authorization has become a thorn in the side of physicians across specialties, and spine is no exception. 

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Alen Nourian, MD, a spine surgeon at DISC Sports & Spine Center in Newport Beach, Calif., connected with Becker’s to answer, “What healthcare trend are you hoping disappears in 2024?”

Editor’s note: This response has been lightly edited for length and clarity.

Dr. Alen Nourian: My wish for 2024 is the disappearance of prior authorization for routine spinal surgery such as lumbar microdiscectomy/laminectomy, cervical disc replacement, anterior cervical disc and fusion, lumbar disc replacement and lumbar interbody fusion. Prior authorization delays treatment for patients on a regular basis and jeopardizes patient care and safety. My office spends countless hours on the phone on authorizations that are either denied or not responded to by insurance frequently. Routine surgeries, as mentioned above, should not require prior authorization. This way, patient care won’t be jeopardized by an insurance company’s denial or lack of response.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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