One Disease With Many Names: Which One You Use Makes a Difference in the PA Process
A Country Doctor Writes
JUNE 23, 2025
It’s used in the hospital more often than in outpatient care. So I sent in a prior auth request with the diagnosis of chronic respiratory failure with hypoxemia. It said that the diagnosis I gave them was not a qualifying diagnosis. My application was denied. There, I saw that emphysema qualifies.
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