- Joined
- Jul 9, 2022
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- 229
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- 314
No difficulty at all for docs doing PA.Our therapists are barred by admin
from turning on the machine unless auth is obtained, and dosimetry won't finalize a plan either, so pretty much nothing is going to happen without an insurance pre-auth, and the reviewers know it. I think they can't handle the cognitive dissonance of being a doctor and hurting patients for money, nor should they.
You could literally be the world's leading expert in a disease and have the best quality equipment, an outstanding team, doing absolutely what the patient needs, with guideline support. And yet, the patient's care still gets decided by a retiree or forced- out former physician who doesn't know what the heck they're even talking about, who is literally just reading off a page from a coverage policy written years ago to serve an insurance company's own selfish needs.
It is the attending that is insisting on SBRT (protons, etc) who is hurting the patient (by delaying the start).
There is nothing that SBRT can do but IMRT or 3D-IGRT can't.